Individual provider Active NPI

Elizabeth R. Borowiec, O.D

  • Optometrist
  • New York, NY
National Provider Identifier
1558565184
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006962-1 Issued in NY
Practice address
232 E 118TH St PH B
New York, NY 10035-4103
Phone
(646) 241-0810
Fax
(718) 342-7004
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006962-1 NY Primary

Addresses

Primary practice location

232 E 118TH St PH B
New York, NY 10035-4103

Mailing address

12 Donovan PL
Grosse Pointe, MI 48230-1935

Other identifiers 1

IdentifierTypeStateIssuer
02916874MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201124002544 MI Practitioner - Optometry 7416143938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Donovan PL
Grosse Pointe, MI 48230-1935
Phone (313) 870-7335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006962-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Great Lakes Eyecare, PC Optometrist CurrentSince May 31, 2019 Accepting new patients
Shandor Zelenger, O.D., P.C. Past Accepting new patients

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1558565184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DONOVAN PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 118TH ST PH B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354103",
            "telephone_number": "646-241-0810",
            "fax_number": "718-342-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROWIEC",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006962-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.