Organization Active NPI

Olesya Semchenkova OD PC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1518500883
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OLESYA SEMCHENKOVA OD PC
Practice address
3014 Brighton 6TH St FL 2ND
Brooklyn, NY 11235-6410
Phone
(917) 607-3543
NPI assigned
Oct 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Authorized official

Name
Dr. Olesya Semchenkova, ODNPI 1033371976
Title
Optometrist
Phone
(917) 607-3543

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3014 Brighton 6TH St FL 2ND
Brooklyn, NY 11235-6410

Mailing address

3820 Avenue T
Brooklyn, NY 11234-4934
Phone (917) 607-3543

Other names 1

  • Pediatric & Adult Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207001341 NY Part B Supplier - Clinic/Group Practice 0244666386 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3014 Brighton 6th St
Fl 2
Brooklyn, NY 11235
Phone (347) 587-7272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1518500883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344934",
            "telephone_number": "917-607-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 BRIGHTON 6TH ST FL 2ND",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356410",
            "telephone_number": "917-607-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLESYA SEMCHENKOVA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "SEMCHENKOVA",
        "authorized_official_first_name": "OLESYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-607-3543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric & Adult Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2019; 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.

Verify at the official NPI Registry.