Individual provider Active NPI

Ruojin Silvia Ren, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1265085336
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008950 Issued in NY
Practice address
2204 Bartow Ave
Bronx, NY 10475-4616
Phone
(183) 242-0207
Fax
(347) 843-0443
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008950 NY Primary

Addresses

Primary practice location

2204 Bartow Ave
Bronx, NY 10475-4616

Mailing address

2204 Bartow Ave
Bronx, NY 10475-4616
Phone (187) 324-2020

Other practice location 1

455 E 149th St
Bronx, NY 10455-1314
Phone (718) 292-2002

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
I20200511001780 NY Practitioner - Optometry 6204267057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Barker Ave
Suite 2
White Plains, NY 10601-1616
Phone (914) 846-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008950NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Vistasite Eyecare Inc Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Vision Land Eye Care Optometry PC Optometrist CurrentSince Jul 14, 2022 Accepting new patients
Bronx Vista Inc Optometrist CurrentSince Apr 7, 2020 Accepting new patients
Xin Quan Medical Rehabilitation and Acupuncture, PLLC CurrentSince Jul 20, 2022 Accepting new patients

Locations

2204 Bartow Ave
Bronx, NY 10475
Phone (718) 320-2020

200 Baychester Ave
Ste 212B
Bronx, NY 10475
Phone (718) 320-2222

455 E 149th St
Bronx, NY 10455
Phone (718) 292-2002

33 Barker Ave
Ste 2
White Plains, NY 10601
Phone (914) 285-3480

Organizations & group practices 4

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1265085336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754616",
            "telephone_number": "187-324-2020",
            "fax_number": "473-843-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754616",
            "telephone_number": "183-242-0207",
            "fax_number": "347-843-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104551314",
            "country_code": "US",
            "telephone_number": "718-292-2002",
            "fax_number": "718-585-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REN",
        "first_name": "RUOJIN",
        "middle_name": "SILVIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.