Organization Active NPI

A & a Optical Inc

Doing business as Mermaid Optical Inc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1285867556
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005465-1 Issued in NY
Legal business name
A & A OPTICAL INC
Doing business as
Mermaid Optical Inc
Practice address
2819 Mermaid Ave
Brooklyn, NY 11224-2068
Phone
(718) 265-6066
Fax
(718) 265-6066
NPI assigned
Sep 2, 2009
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mr. Albert BrichkoNPI 1245463462
Title
President
Phone
(718) 265-6066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT005465-1 NY Primary

Addresses

Primary practice location

2819 Mermaid Ave
Brooklyn, NY 11224-2068

Mailing address

2819 Mermaid Ave
Brooklyn, NY 11224-2068
Phone (718) 265-6066

Other names 1

  • MERMAID OPTICAL INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091026000039 NY Part B Supplier - Clinic/Group Practice 0648317685 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY
O20110331000551 NY DME Supplier - Optician 0648317685 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
A&a Optical Inc.2819 Mermaid Ave, Brooklyn, NY 11224-2092(718) 256-6066 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Sep 21, 2009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1285867556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242068",
            "telephone_number": "718-265-6066",
            "fax_number": "718-265-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242068",
            "telephone_number": "718-265-6066",
            "fax_number": "718-265-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & A OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "BRICHKO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-265-6066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005465-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERMAID OPTICAL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.