Organization Active NPI

Bronx Vision Associates LLC

  • Optometrist
  • Bronx, NY
National Provider Identifier
1639570864
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006404 Issued in NY
Legal business name
BRONX VISION ASSOCIATES LLC
Practice address
200 Baychester Ave
Space 111
Bronx, NY 10475-4575
Phone
(718) 320-7700
Fax
(718) 320-7709
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. Arthur Vayner, O.D.NPI 1619927472
Title
Optometrist/Owner
Phone
(718) 320-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006404 NY Primary

Addresses

Primary practice location

200 Baychester Ave
Space 111
Bronx, NY 10475-4575

Mailing address

200 Baychester Ave
Space 111
Bronx, NY 10475-4575
Phone (718) 320-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209000118 NY Part B Supplier - Clinic/Group Practice 9436471125 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

200 Baychester Ave
Ste 111
Bronx, NY 10475
Phone (718) 320-7700

Practitioners & affiliated clinicians

Practitioners 2

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": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1639570864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BAYCHESTER AVE",
            "address_2": "SPACE 111",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754575",
            "telephone_number": "718-320-7700",
            "fax_number": "718-320-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAYCHESTER AVE",
            "address_2": "SPACE 111",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754575",
            "telephone_number": "718-320-7700",
            "fax_number": "718-320-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX VISION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "718-320-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006404",
            "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 Sep 8, 2014; 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.