Wayne Tabachnick OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002974 Issued in NY

Legal business name

WAYNE TABACHNICK OD PC

Practice address

648 W 181St St
New York, NY 10033-3801

Phone

(212) 927-4444

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Wayne Neal Tabachnick, O.D

Title

President

Phone

(212) 927-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wayne Tabachnick, OD PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1144492497

  O20080828000272

  Same enrollment

Practitioners 3

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

• Charles Summer Chatman, O.D.

  • Optometrist
  • New York, NY
  • NPI 1437161619
  Medicare reassignment NPD
• Viktoriya Gutkevich, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1831171743
  Medicare reassignment NPD
• Buck Sverdlin, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1801149828
  Medicare reassignment NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1386817609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VILLAS CIR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473061",
            "telephone_number": "631-420-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333801",
            "telephone_number": "212-927-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE TABACHNICK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "TABACHNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-927-4444",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Waxman, MD
• Sarah M. Waxse, L.C.S.W.
• Brian Wayda
• Jerome D. Waye, M.D.
• Tiffany E Wayman, LMSW
• Carys Wayne, LCSW
• Linda C Wayne
• Marc Wayne, L.C.S.W., B.C.D.
• Michelle Wayne
• Taylor Wayne, LCSW

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.