Individual provider Active NPI

Olga Goncharova, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1659235919
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011332 Issued in NY
Practice address
7516 3Rd Ave
Brooklyn, NY 11209-3104
Phone
(718) 836-8600
NPI assigned
Dec 11, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011332 NY Primary

Addresses

Primary practice location

7516 3Rd Ave
Brooklyn, NY 11209-3104

Mailing address

7516 3Rd Ave
Brooklyn, NY 11209-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000752 NY Practitioner - Optometry 3971098500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Optix, IncGroup PAC ID 2466611181, 2 clinicians

Practice addresses (Care Compare)

7516 3Rd Ave
Brooklyn, NY 11209-3104
Phone (718) 836-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Optix, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

7516 3rd Ave
Brooklyn, NY 11209
Phone (718) 836-8600

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1659235919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093104",
            "telephone_number": "718-836-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHAROVA",
        "first_name": "OLGA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.