Active NPI
Barry S Pivnick, O.D.
- Optometrist
- Boynton Beach, FL
National Provider Identifier
1649304775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 667
- Practice address
- 6712 Southport Dr
Boynton Beach, FL 33437-6921 - Phone
- (561) 737-8183
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 667 | CT | Primary |
Addresses
Primary practice location
6712 Southport Dr
Boynton Beach, FL 33437-6921
Mailing address
6712 Southport Dr
Boynton Beach, FL 33437-6921
Phone (561) 737-8183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040419000005 | CT | Practitioner - Optometry | 5890780977 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westfarms Eye Associates PC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| King Family Eye Care, LLC | Optometrist | Past | Accepting new patients |
| Town Line Eye Care, LLC | Optometrist | Past | Accepting new patients |
Locations
2691 Berlin Tpke
Newington, CT 06111
Phone (860) 594-4585
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Farmington, CT
- NPI 1568520773
-
- Optometrist
- Old Saybrook, CT
- NPI 1508925330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649304775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712 SOUTHPORT DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376921",
"telephone_number": "561-737-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 SOUTHPORT DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376921",
"telephone_number": "561-737-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIVNICK",
"first_name": "BARRY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.