Individual provider Active NPI

Yevgeny Vayner, OPTICIAN

  • Optician
  • Brooklyn, NY
National Provider Identifier
1508053349
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008310-1 Issued in NY
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

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
008310-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.