Individual provider Active NPI

Simona Korik-Barrett, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1497984900
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007420-1 Issued in NY
Practice address
817 W 181St St
New York, NY 10033-4516
Phone
(212) 923-2020
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007420-1 NY Primary

Addresses

Primary practice location

817 W 181St St
New York, NY 10033-4516

Mailing address

665 Pelham Pkwy N
Suite 202
Bronx, NY 10467-8068
Phone (718) 547-2020

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
I20100125000133 NY Practitioner - Optometry 8325180656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Practice addresses (Care Compare)

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007420-1NYMDOptometrist
007420NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Optometry and Ophthalmic Dispensing Care PLLC Optometrist CurrentSince Nov 8, 2009 Accepting new patients
Bronx Vision Group Inc Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Harlem Vistasite Eye Care Inc Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Smart Medical PLLC CurrentSince Oct 27, 2023 Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

817 W 181st St
New York, NY 10033
Phone (212) 257-3308

2204 Frederick Douglass Blvd
New York, NY 10026
Phone (646) 895-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1497984900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678068",
            "telephone_number": "718-547-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334516",
            "telephone_number": "212-923-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIK-BARRETT",
        "first_name": "SIMONA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007420-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.