Individual provider Active NPI

Deborah Karmel Kanarfogel, OD

  • Occupational Vision Optometrist
  • New York, NY
National Provider Identifier
1427150200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
VUT003879-1 Issued in NY
Practice address
187 E 116TH St
Wizard of Eyes
New York, NY 10029-1342
Phone
(212) 996-7676
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision Optometrist 152WX0102X VUT003879-1 NY Primary

Addresses

Primary practice location

187 E 116TH St
Wizard of Eyes
New York, NY 10029-1342

Mailing address

187 E 116TH St
Wizard of Eyes
New York, NY 10029-1342
Phone (212) 996-7676

Other identifiers 1

IdentifierTypeStateIssuer
01038173MedicaidNY

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
I20040525001539 NY Practitioner - Optometry 4284615386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 -14A Northern Blvd
Flushng, NY 11354-4239
Phone (718) 888-2691

390 E Fordham Rd
Bronx, NY 10458-5005
Phone (718) 220-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT003879-1NYMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
See & Style of Bronx Inc. CurrentSince Jan 21, 2017 Accepting new patients
Northern Eye Care, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Flushing Mall Optical, Inc. Past Accepting new patients
Wizard of Eyes of 116 St Inc PastSince Oct 1, 2015 Accepting new patients

Locations

390 E Fordham Rd
Bronx, NY 10458
Phone (718) 220-6060

14114A Northern Blvd
Flushing, NY 11354
Phone (718) 888-2691

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427150200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E 116TH ST",
            "address_2": "WIZARD OF EYES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291342",
            "telephone_number": "212-996-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E 116TH ST",
            "address_2": "WIZARD OF EYES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291342",
            "telephone_number": "212-996-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANARFOGEL",
        "first_name": "DEBORAH",
        "middle_name": "KARMEL",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "VUT003879-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01038173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.