Individual provider Active NPI

Aurora Axin Tussy, O.D., F.A.A.O.

  • Low Vision Rehabilitation Optometrist
  • Bronx, NY
National Provider Identifier
1245375716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
VUT005642-1 Issued in NY
Practice address
679 W 239TH St
#1A
Bronx, NY 10463-1258
Phone
(718) 601-4930
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X VUT005642-1 NY Primary

Addresses

Primary practice location

679 W 239TH St
#1A
Bronx, NY 10463-1258

Mailing address

679 W 239TH St
#1A
Bronx, NY 10463-1258
Phone (718) 601-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018001835 NY Practitioner - Optometry 7810395175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacob C Shafran Optometry PLLCGroup PAC ID 9032557145, 4 clinicians

Practice addresses (Care Compare)

2340 Cropsey Ave
Brooklyn, NY 11214-5706
Phone (212) 739-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005642-1NYMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Tabor Medical PC CurrentSince Jun 16, 2026 Accepting new patients
Eyevolution, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Visual Optometry PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1435 64th St
Brooklyn, NY 11219

6326 New Utrecht Ave
Brooklyn, NY 11219
Phone (212) 739-1799

14461 38th Ave
Flushing, NY 11354
Phone (212) 739-1799

42 S Franklin St
Nyack, NY 10960
Phone (845) 353-4701

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245375716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 W 239TH ST",
            "address_2": "#1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631258",
            "telephone_number": "718-601-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 W 239TH ST",
            "address_2": "#1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631258",
            "telephone_number": "718-601-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXIN TUSSY",
        "first_name": "AURORA",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "VUT005642-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.