Active NPI
Robin Basalla, TVI
- Vision Therapy Optometrist
- Brooklyn, NY
National Provider Identifier
1487938791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1858685
- Practice address
- 402 Pacific St
Apt 4
Brooklyn, NY 11217-2290 - Phone
- (415) 378-5525
- NPI assigned
- Oct 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 1858685 | NY | Primary |
Addresses
Primary practice location
402 Pacific St
Apt 4
Brooklyn, NY 11217-2290
Mailing address
402 Pacific St
Apt 4
Brooklyn, NY 11217-2290
Phone (415) 378-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1858685 | NY | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1487938791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 PACIFIC ST",
"address_2": "APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172290",
"telephone_number": "415-378-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 PACIFIC ST",
"address_2": "APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172290",
"telephone_number": "415-378-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASALLA",
"first_name": "ROBIN",
"credential": "TVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "1858685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.