Organization Active NPI

Bronx Family Eye Care Inc

  • Corneal and Contact Management Optometrist
  • Bronx, NY
National Provider Identifier
1629486600
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.