Active NPI
Queens Optometric Care PLLC
- Optometrist
- Bronx, NY
National Provider Identifier
1609064153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- QUEENS OPTOMETRIC CARE PLLC
- Doing business as
- BRONX EYE ASSOCIATES
- Practice address
- 665 Pelham Pkwy N
Suite 202
Bronx, NY 10467-8069 - Phone
- (718) 547-2020
- Fax
- (718) 547-3021
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Orloff, O.D.
- Title
- Optometrist
- Phone
- (718) 547-2020
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Low Vision Rehabilitation Optometrist | 152WL0500X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Sports Vision Optometrist | 152WS0006X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Occupational Vision Optometrist | 152WX0102X |
Addresses
Primary practice location
665 Pelham Pkwy N
Suite 202
Bronx, NY 10467-8069
Mailing address
665 Pelham Pkwy N
Suite 202
Bronx, NY 10467-8068
Phone (718) 547-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03287547 | Medicaid | NY |
Other names 1
- BRONX EYE ASSOCIATES
National Provider Directory
National Provider DirectoryLocations
665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1609064153",
"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",
"fax_number": "718-547-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 PELHAM PKWY N",
"address_2": "SUITE 202",
"city": "BRONX",
"state": "NY",
"postal_code": "104678069",
"telephone_number": "718-547-2020",
"fax_number": "718-547-3021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS OPTOMETRIC CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "ORLOFF",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "718-547-2020",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03287547",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRONX EYE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BRONX EYE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.