Gotham Lasik Vision

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

211558 Issued in NY

Legal business name

GOTHAM LASIK VISION

Practice address

346 W 57TH St
New York, NY 10019-3702

Phone

(212) 581-1280

Fax

(212) 616-9998

NPI assigned

Feb 17, 2014

Last updated

Feb 17, 2014By 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

Dr. Brian Bonanni, M.D.

Title

Director

Phone

(212) 581-1280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1306260013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193702",
            "telephone_number": "212-581-1280",
            "fax_number": "212-616-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193702",
            "telephone_number": "212-581-1280",
            "fax_number": "212-616-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM LASIK VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "BONANNI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-581-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "211558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gotham Eye Center LLC
• Gotham Footcare
• Gotham Gastroenterology, PLLC
• Gotham Gastroenterology, PLLC (Digestive Disease Laboratory)
• Gotham Integrative Acupuncture and Wellness PLLC
• Gotham Medical Associates, PLLC
• Gotham Medical Group LLP
• Gotham Pediatrics, PC
• Gotham Per Diem, Inc
• Gotham Per Diem, Inc

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.