Individual provider Active NPI

Eugene Orloff, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1386731974
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006118 Issued in NY
Practice address
665 Pelham Pkwy North
#202
Bronx, NY 10467
Phone
(718) 547-2020
Fax
(718) 547-3021
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT006118 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy North
#202
Bronx, NY 10467

Mailing address

665 Pelham Pkwy North
#202
Bronx, NY 10467
Phone (718) 547-2020

Other identifiers 1

IdentifierTypeStateIssuer
02118289MedicaidNY

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
I20041210000604 NY Practitioner - Optometry 2264499243 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlem Vistasite Eye Care IncGroup PAC ID 2860733011, 3 clinicians
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians
Vista Optometry and Ophthalmic Dispensing Care PLLCGroup PAC ID 9032216825, 2 clinicians

Practice addresses (Care Compare)

2204 Frederick Douglass Blvd
New York, NY 10026-1172
Phone (646) 895-9000

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

817 W 181St St
New York, NY 10033-4516
Phone (212) 923-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT006118NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Vistasite Eyecare Inc. Optometrist CurrentSince Jun 1, 2013 Accepting new patients
Smart Medical PLLC CurrentSince Oct 27, 2023 Accepting new patients
Vista Optometry and Ophthalmic Dispensing Care PLLC Optometrist CurrentSince Dec 20, 2006 Accepting new patients
Brooklyn Vista Site Eyecare Inc. Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Bronx Vistasite Eyecare Inc Optometrist CurrentSince Oct 24, 2010 Accepting new patients
Harlem Vistasite Eye Care Inc Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Green Acres Vistasite Inc Optometrist CurrentSince Oct 8, 2024 Accepting new patients
Vistasite Optique Inc CurrentSince Feb 23, 2019 Accepting new patients
Bronx Vision Group Inc Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Ez Medhealth Care PC Past Accepting new patients
Vista on 3Rd Inc. Optometrist PastSince Aug 20, 2019 Accepting new patients
Alleyes Inc Optometrist PastSince Feb 22, 2015 Accepting new patients
RX Plus Enterprises Inc PastSince Dec 13, 2022 Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

200 Baychester Ave
Ste 212B
Bronx, NY 10475
Phone (718) 320-2222

2204 Bartow Ave
Bronx, NY 10475
Phone (718) 320-2020

665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

1913 Kings Hwy
Brooklyn, NY 11229
Phone (646) 831-7424

4204 Broadway
New York, NY 10033
Phone (917) 261-6100

817 W 181st St
New York, NY 10033
Phone (212) 257-3308

2204 Frederick Douglass Blvd
New York, NY 10026
Phone (646) 895-9000

1088 Green Acres Mall
#118
Valley Stream, NY 11581
Phone (516) 568-2010

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1386731974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY NORTH",
            "address_2": "#202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-2020",
            "fax_number": "718-547-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY NORTH",
            "address_2": "#202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-2020",
            "fax_number": "718-547-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOFF",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02118289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.