Active NPI
Bainbridge Optical Corp
- Optometrist
- Bronx, NY
National Provider Identifier
1497941892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007111
- Legal business name
- BAINBRIDGE OPTICAL CORP
- Practice address
- 3083 Bainbridge Ave
Bronx, NY 10467 - Phone
- (718) 655-6040
- Fax
- (718) 655-0348
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Galina Orloff
- Title
- Owner
- Phone
- (718) 655-6040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007111 | NY | Primary |
Addresses
Primary practice location
3083 Bainbridge Ave
Bronx, NY 10467
Mailing address
3083 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-6040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02864762 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Bloomfield, NJ
- NPI 1528025194
NY
-
- Optometrist
- Bronx, NY
- NPI 1588725691
-
- Optometrist
- Bronx, NY
- NPI 1942537964
-
- Optician
- Bronx, NY
- NPI 1114048709
-
- Family Medicine Physician
- Bronx, NY
- NPI 1285707778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1497941892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3083 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-655-6040",
"fax_number": "718-655-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3083 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-655-6040",
"fax_number": "718-655-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAINBRIDGE OPTICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "ORLOFF",
"authorized_official_first_name": "GALINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-655-6040",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02864762",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.