Individual provider Active NPI

Viola Kanevsky, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1417976598
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005443 Issued in NY
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

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C449D1OtherNYEMPIRE BCBS
5731500001OtherNYDMEPOS
11225933OtherNMCAQH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000710 NY Practitioner - Optometry 8426150152 Reassigns benefits to 1 organization

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
Viola Kanevsky OD PLLCGroup PAC ID 6709988439, 2 clinicians

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

LicenseStateTypeSpecialty
T005443NYMDCorneal and Contact Management Optometrist
005443NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Viola Kanevsky, O.D., P.L.L.C. Optometrist CurrentSince Sep 10, 2012 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.

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

Verify at the official NPI Registry.