BSD Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BSD OPTOMETRY PC

Doing business as

Pure Vision Optical

Practice address

10023 Queens Blvd
Forest Hills, NY 11375-2452

Phone

(718) 887-4987

NPI assigned

Feb 22, 2024

Organization subpart

Yes

Parent organization

BSD OPTOMETRYAs reported in NPPES

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

Authorized official

Name

Dr. Bella Davydov, ODNPI 1093156820

Title

Optometrist

Phone

(718) 887-4987

Specialties & licenses 1

Addresses

Other names 1

• Pure Vision Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

BSD Optometry PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bella Davydov, O.D.

  • Optometrist
  • Forest Hills, NY
  • NPI 1093156820
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Poltilov

  • Optometrist
  • Flushing, NY
  • NPI 1295470045
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1265298731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14345 HOOVER AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752452",
            "telephone_number": "718-887-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSD OPTOMETRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BSD OPTOMETRY",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "DAVYDOV",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-887-4987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oniesha Leniah Tamica Browne
• Shakeema Browne
• Rachel Emily Bruce, MD
• Sara Bruschi
• Danielle Bryan
• Bse Hearing,Inc.
• Kyungsook Bu, FNP
• Buch Scientific 2 LLC
• Alana Buck
• Samantha Morgan Buck, LMSW

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.