NPIMap

Organization Active NPI

Cross Bronx Optical Inc.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1326355355
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CROSS BRONX OPTICAL INC.
Practice address
961 E 174TH St
Bronx, NY 10460-5060
Phone
(347) 498-1478
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Marina Pritsker
Title
Owner
Phone
(347) 498-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

961 E 174TH St
Bronx, NY 10460-5060

Mailing address

961 E 174TH St
Bronx, NY 10460-5060
Phone (347) 498-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821000344 NY Part B Supplier - Clinic/Group Practice 6901024686 Receives reassigned benefits from 8 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

961 E 174th St
Bronx, NY 10460
Phone (347) 498-1478

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1326355355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605060",
            "telephone_number": "347-498-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605060",
            "telephone_number": "347-498-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS BRONX OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "PRITSKER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-498-1478"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.