Organization Active NPI

GVC Vision Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1407120827
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GVC VISION INC
Practice address
2604 3Rd Ave
First Floor
Bronx, NY 10454-1199
Phone
(718) 866-0103
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Alex Vaysbaum
Title
President
Phone
(718) 866-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2604 3Rd Ave
First Floor
Bronx, NY 10454-1199

Mailing address

2604 3Rd Ave
First Floor
Bronx, NY 10454-1199
Phone (718) 866-0103

National Provider Directory

National Provider Directory

Locations

2604 3rd Ave
Ste 1
Bronx, NY 10454
Phone (718) 866-0103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1407120827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 3RD AVE",
            "address_2": "FIRST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541199",
            "telephone_number": "718-866-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 3RD AVE",
            "address_2": "FIRST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541199",
            "telephone_number": "718-866-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVC VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "VAYSBAUM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-866-0103"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.