My Lens Dr Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MY LENS DR INC.

Practice address

3009 Church Ave
Brooklyn, NY 11226-4209

Phone

(718) 814-2020

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Vaysbaum

Title

Shareholder

Phone

(917) 696-0601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Lazarev, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1396223665
  Medicare reassignment
• Peter Lan Lin, O.D.

  • Optometrist
  • El Paso, TX
  • NPI 1619273190

  NY

  Medicare reassignment

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1275226235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264209",
            "telephone_number": "718-814-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264209",
            "telephone_number": "718-814-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LENS DR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "VAYSBAUM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "917-696-0601"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Health Urgent Care PC
• My Home Day Care Center Inc
• My Home Doctor Medical PC
• My Kids Inc
• My Lens Dr Group Inc
• My Meds Pharmacy Inc
• My Movement Physical Therapy PC
• My Optical Brooklyn Inc.
• My Optician Inc.
• My Optometry PC

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.