Individual provider Active NPI

Anna Lazarev, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1396223665
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008804 Issued in NY
Practice address
187 Avenue U
Brooklyn, NY 11223-3741
Phone
(718) 373-2020
NPI assigned
Jul 30, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008804 NY Primary

Addresses

Primary practice location

187 Avenue U
Brooklyn, NY 11223-3741

Mailing address

3901 Nostrand Ave Apt 5O
Brooklyn, NY 11235-2135
Phone (646) 667-7700

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
I20190725002089 NY Practitioner - Optometry 2062748254 Reassigns benefits to 7 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians

Practice addresses (Care Compare)

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008804NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Vision Group Inc Optometrist CurrentSince Nov 12, 2025 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Nov 12, 2019 Accepting new patients
GVC Vision Group Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients
My Lens Dr Group Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1704 Church Ave
Brooklyn, NY 11226
Phone (718) 684-5000

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1536 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 434-2222

3009 Church Ave
Brooklyn, NY 11226
Phone (347) 406-6300

Interoperability endpoints

  • Direct secure messaging: alazarev@bewell.direct.eyemdemr.com

Organizations & group practices 8

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1396223665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NOSTRAND AVE APT 5O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352135",
            "telephone_number": "646-667-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAREV",
        "first_name": "ANNA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.