Organization Active NPI

Envaio Inc

  • Optometrist
  • New York, NY
National Provider Identifier
1639845308
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENVAIO INC
Practice address
280 Columbus Ave
New York, NY 10023-2302
Phone
(212) 501-7070
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Mr. Konstantin Tokarev
Title
Owner
Phone
(917) 348-5281

Specialties & licenses 1

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

Addresses

Primary practice location

280 Columbus Ave
New York, NY 10023-2302

Mailing address

280 Columbus Ave
New York, NY 10023-2302
Phone (212) 501-7070

Other names 1

  • Euro Optica Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215002067 NY Part B Supplier - Clinic/Group Practice 2264801133 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

280 Columbus Ave
New York, NY 10023
Phone (212) 501-7070

Practitioners & affiliated clinicians

Practitioners 3

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": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1639845308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232302",
            "telephone_number": "212-501-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232302",
            "telephone_number": "212-501-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVAIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A",
        "authorized_official_last_name": "TOKAREV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-348-5281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Euro Optica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.