Organization Active NPI

Allon Vision Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1417409202
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006665 Issued in NY
Legal business name
ALLON VISION INC.
Practice address
1246 Amsterdam Ave
New York, NY 10027-5924
Phone
(212) 316-2020
Fax
(212) 722-2688
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Allon Nejatheim, O.D.
Title
President
Phone
(212) 316-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006665 NY Primary

Addresses

Primary practice location

1246 Amsterdam Ave
New York, NY 10027-5924

Mailing address

1246 Amsterdam Ave
New York, NY 10027-5924
Phone (212) 316-2020

Other names 1

  • Columbia Opticians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511001051 NY Part B Supplier - Clinic/Group Practice 6507806247 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1246 Amsterdam Ave
New York, NY 10027
Phone (212) 316-2020

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1417409202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275924",
            "telephone_number": "212-316-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275924",
            "telephone_number": "212-316-2020",
            "fax_number": "212-722-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLON VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "NEJATHEIM",
        "authorized_official_first_name": "ALLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-316-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.