Active NPI
Yevgeny Vayner, OPTICIAN
- Optician
- Brooklyn, NY
National Provider Identifier
1508053349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008310-1
- Practice address
- 7602 5TH Ave
Brooklyn, NY 11209-3304 - Phone
- (718) 238-2020
- Fax
- (718) 491-3147
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 008310-1 | NY | Primary |
Addresses
Primary practice location
7602 5TH Ave
Brooklyn, NY 11209-3304
Mailing address
7602 5TH Ave
Brooklyn, NY 11209-3304
Phone (718) 238-2020
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 |
|---|---|---|---|
| 008310-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Optical Choice Inc. | Optician | Current | Accepting new patients |
| Ideal Optical Vision LLC | Current | Accepting new patients |
Locations
7602 5th Ave
Brooklyn, NY 11209
Phone (718) 238-2020
Organizations & group practices 2
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.
-
- Optician
- Brooklyn, NY
- NPI 1427247980
-
- Optometrist
- Brooklyn, NY
- NPI 1811569205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1508053349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7602 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093304",
"telephone_number": "718-238-2020",
"fax_number": "718-491-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7602 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093304",
"telephone_number": "718-238-2020",
"fax_number": "718-491-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYNER",
"first_name": "YEVGENY",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008310-1",
"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 Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.