Active NPI
Viola Kanevsky, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1417976598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005443
- Practice address
- 527 Columbus Ave
New York, NY 10024-3402 - Phone
- (212) 580-2020
- Fax
- (212) 580-2023
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005443 | NY | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | T005443 | NY | |
| Pediatric Optometrist | 152WP0200X | T005443 | NY |
Addresses
Primary practice location
527 Columbus Ave
New York, NY 10024-3402
Mailing address
527 Columbus Ave
New York, NY 10024-3402
Phone (212) 580-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C449D1 | Other | NY | EMPIRE BCBS |
| 5731500001 | Other | NY | DMEPOS |
| 11225933 | Other | NM | CAQH NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Central Park W
Apt 1C
New York, NY 10023-6008
Phone (212) 580-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T005443 | NY | MD | Corneal and Contact Management Optometrist |
| 005443 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viola Kanevsky, O.D., P.L.L.C. | Optometrist | Current | Accepting new patients |
Locations
65 Central Park W
Apt 1C
New York, NY 10023
Phone (212) 246-8772
527 Columbus Ave
New York, NY 10024
Phone (212) 580-2020
Organizations & group practices 1
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.
-
- Optometrist
- New York, NY
- NPI 1093852766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1417976598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243402",
"telephone_number": "212-580-2020",
"fax_number": "212-580-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243402",
"telephone_number": "212-580-2020",
"fax_number": "212-580-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANEVSKY",
"first_name": "VIOLA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005443",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "T005443",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "T005443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "C449D1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEPOS",
"identifier": "5731500001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11225933",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.