Active NPI
Bronx Family Eye Care Inc
- Corneal and Contact Management Optometrist
- Bronx, NY
National Provider Identifier
1629486600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- BRONX FAMILY EYE CARE INC
- Practice address
- 2336 Grand Concourse
Bronx, NY 10458-6903 - Phone
- (718) 220-0439
- Fax
- (718) 933-2914
- NPI assigned
- Jul 23, 2014
- Last updated
- Oct 27, 2015
- 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
- Andre Ryabinin
- Title
- Ceo
- Phone
- (718) 474-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | NU | Primary |
Addresses
Primary practice location
2336 Grand Concourse
Bronx, NY 10458-6903
Mailing address
2336 Grand Concourse
Bronx, NY 10457-6903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151229000056 | NY | Part B Supplier - Clinic/Group Practice | 3577864099 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1629486600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104586903",
"telephone_number": "718-220-0439",
"fax_number": "718-933-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONX FAMILY EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-23",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "RYABININ",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-474-9111"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 27, 2015; 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.