Organization Active NPI

Bartow Avenue Bronx Eye Care Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1609167212
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006962 Issued in NY
Legal business name
BARTOW AVENUE BRONX EYE CARE INC
Doing business as
Bronx Eye Care
Practice address
2075 Bartow Ave
Bronx, NY 10475-4613
Phone
(718) 671-5666
Fax
(718) 862-2306
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Ms. Elaina Zavilensky
Title
MGR
Phone
(718) 671-5666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006962 NY Primary
Eyewear Supplier 332H00000X 007938 NY

Addresses

Primary practice location

2075 Bartow Ave
Bronx, NY 10475-4613

Mailing address

2075 Bartow Ave
Bronx, NY 10475-4613
Phone (718) 671-5666

Other names 1

  • Bronx Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131001000566 NY Part B Supplier - Clinic/Group Practice 4587898713 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

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": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1609167212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754613",
            "telephone_number": "718-671-5666",
            "fax_number": "718-862-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754613",
            "telephone_number": "718-671-5666",
            "fax_number": "718-862-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTOW AVENUE BRONX EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "ZAVILENSKY",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "718-671-5666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006962",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "007938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Eye Care",
            "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 Oct 17, 2013; 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.