Individual provider Active NPI

Julia Alexandrov, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1396807889
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006328 Issued in NY
Practice address
922 Pennsylvania Ave
Brooklyn, NY 11207
Phone
(718) 240-9401
Fax
(718) 649-0202
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006328 NY Primary

Addresses

Primary practice location

922 Pennsylvania Ave
Brooklyn, NY 11207

Mailing address

922 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-9401

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
I20040501000401 NY Practitioner - Optometry 3870581663 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
Phone (718) 240-9401

1110 Pennsylvania Ave
Brooklyn, NY 11207-9061

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Optical Brooklyn Inc. CurrentSince Mar 2, 2016 Accepting new patients
Laser and Microsurgery, PC PastSince Sep 1, 2008 Accepting new patients
New York Eye Associates, LLC Past Accepting new patients

Locations

1110 Pennsylvania Ave
Ste 4
Brooklyn, NY 11207
Phone (718) 498-3598

922 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-9401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1396807889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-240-9401",
            "fax_number": "718-649-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-240-9401",
            "fax_number": "718-649-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDROV",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.