Organization Active NPI

Ave U Vision Center LLC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1407327976
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AVE U VISION CENTER LLC
Practice address
189 Avenue U
Brooklyn, NY 11223-3741
Phone
(718) 373-8510
Fax
(718) 373-9805
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Dr. Boris Kapelnik, O.D.
Title
Owner / Optometrist
Phone
(847) 404-3764

Specialties & licenses 1

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

Addresses

Primary practice location

189 Avenue U
Brooklyn, NY 11223-3741

Mailing address

189 Avenue U
Brooklyn, NY 11223-3741
Phone (718) 373-8510

Other identifiers 1

IdentifierTypeStateIssuer
02879716MedicaidNY

National Provider Directory

National Provider Directory

Locations

189 Avenue U
Brooklyn, NY 11223
Phone (718) 373-8510

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1407327976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-8510",
            "fax_number": "718-373-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-8510",
            "fax_number": "718-373-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE U VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "KAPELNIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "847-404-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02879716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.