Individual provider Active NPI

Arielle Roberts

  • Optometrist
  • New York, NY
National Provider Identifier
1376085761
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008533 Issued in NY
Practice address
3525 Broadway
New York, NY 10031-5627
Phone
(212) 335-2900
NPI assigned
Nov 16, 2016
Last updated
Jan 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008533 NY Primary

Addresses

Primary practice location

3525 Broadway
New York, NY 10031-5627

Mailing address

3525 Broadway
New York, NY 10031-5627
Phone (212) 335-2900

Other practice location 1

3361 Broadway
New York, NY 10031-7403
Phone (212) 392-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031000977 NY Practitioner - Optometry 4284900671 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Harlem Vision Inc.Group PAC ID 6901081892, 2 clinicians

Practice addresses (Care Compare)

3361 Broadway
New York, NY 10031-7403
Phone (646) 789-8951

3525 Broadway
New York, NY 10031-5627
Phone (646) 789-8951

455 Lenox Ave
New York, NY 10037-0982
Phone (212) 368-2020

455 Lenox Ave
New York, NY 10037-3331
Phone (212) 368-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Vision Group Inc Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Harlem Vision Inc. Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Broadway Vision Inc Optometrist CurrentSince Sep 2, 2017 Accepting new patients
Harlem Vision Group Inc. Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Broadway Vision 135 Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Eye Care Medical PC PastSince Aug 1, 2025 Accepting new patients

Locations

3361 Broadway
New York, NY 10031
Phone (212) 392-2500

3525 Broadway
New York, NY 10031
Phone (212) 335-2900

454 Lenox Ave
New York, NY 10037
Phone (212) 368-2020

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1376085761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315627",
            "telephone_number": "212-335-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315627",
            "telephone_number": "212-335-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100317403",
            "country_code": "US",
            "telephone_number": "212-392-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ARIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.