NPIMap

Organization Active NPI

Modern Vision, Inc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1366760019
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004505-1 Issued in NY
Legal business name
MODERN VISION, INC
Practice address
453 Kings Hwy
Brooklyn, NY 11223-1847
Phone
(718) 336-1060
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Steven GivnerNPI 1104821842
Title
President
Phone
(718) 336-1060

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
Optometrist 152W00000X TUV004505-1 NY Primary

Addresses

Primary practice location

453 Kings Hwy
Brooklyn, NY 11223-1847

Mailing address

453 Kings Hwy
Brooklyn, NY 11223-1847
Phone (718) 336-1060

Other identifiers 1

IdentifierTypeStateIssuer
00936425MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1366760019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231847",
            "telephone_number": "718-336-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231847",
            "telephone_number": "718-336-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "GIVNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-336-1060"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004505-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00936425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 5, 2010; 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.