Individual provider Active NPI

Oleksandra Savchuk, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1255059853
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009565 Issued in NY
Practice address
187 Avenue U
Brooklyn, NY 11223-3741
Phone
(718) 373-2020
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009565 NY Primary

Addresses

Primary practice location

187 Avenue U
Brooklyn, NY 11223-3741

Mailing address

2928 W 5TH St Apt 8S
Brooklyn, NY 11224-3990
Phone (347) 278-3263

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
I20221013000481 NY Practitioner - Optometry 6507232725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avenue U Optometry P.C.Group PAC ID 1557250388, 5 clinicians

Practice addresses (Care Compare)

187 Ave U
Brooklyn, NY 11223-3741
Phone (718) 373-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009565NYMDOptometrist
009565NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue U Optometry P.C. Optometrist CurrentSince Jul 6, 2022 Accepting new patients

Locations

187 Avenue U
Ste B
Brooklyn, NY 11223

187 Avenue U
Brooklyn, NY 11223
Phone (718) 373-2020

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1255059853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST APT 8S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243990",
            "telephone_number": "347-278-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVCHUK",
        "first_name": "OLEKSANDRA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.