Bronx Ophthalmologic PC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

006147 Issued in NY

Legal business name

BRONX OPHTHALMOLOGIC PC.

Practice address

4422 3Rd Ave FL 7
Bronx, NY 10457-2545

Phone

(718) 960-6389

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Chang, O.D.

Title

Optometrist

Phone

(718) 960-6389

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee D. Yearwood, O.D.

  • Optometrist
  • Bronx, NY
  • NPI 1508833260
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427114180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 5TH AVE APT 4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE FL 7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX OPHTHALMOLOGIC PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-960-6389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Medical Services PLLC
• Bronx Medical-Cardiac, PLLC
• Bronx Metro Healthcare Medical PC
• Bronx Modern Medical. PC
• Bronx Nephrology Hypertension PC
• Bronx Ophthalmologic, PC
• Bronx Ophthalmology PC.
• Bronx Oral Surgery, PC
• Bronx Parents Housing Network, Inc.
• Bronx Park Dental PC

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.