Paul Patsalis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004810-1 Issued in NY

Practice address

6834 3Rd Ave
Brooklyn, NY 11220-5803

Phone

(718) 680-3270

Fax

(718) 680-4918

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abaid and Patsalis O.D. P.C.

  • Optometrist
  • Brooklyn, NY
  • NPI 1548325517

  NY, Optometrist

  Medicare reassignment NPD Authorized official
• Bensonhurst Family Vision Corp.

  • Optometrist
  • Brooklyn, NY
  • NPI 1447228333

  NY, Optometrist

  Medicare reassignment NPD
• Abaid and Patsalis Odpc

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1104297480
  NPD Authorized official
• Bensonhurst Family Vision Corp.

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1659742922
  NPD (past) Authorized official
• Paul Patsalis, O.D. P.C.

  • Optometrist
  • Omaha, NE
  • NPI 1629095377
  NPD (past) Authorized official
• Rona Appel MD PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1922321280
  NPD (past)
• Berlin Medical Associates, P.a.

  • Family Medicine Physician
  • Berlin, NJ
  • NPI 1174570832
  NPD (past)
• Naitonal Vision, Inc.

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1215969811
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1679576102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205803",
            "telephone_number": "718-680-3270",
            "fax_number": "718-680-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205803",
            "telephone_number": "718-680-3270",
            "fax_number": "718-680-4918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143214",
            "country_code": "US",
            "telephone_number": "718-372-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATSALIS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1195",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004810-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01126223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew I Patrick, D.O.
• Jadira Patrick, LCSW
• Ruschel E Patrick, OT
• Kay Patrickson
• Athena Stavroula Patsalis
• Zoe (Xavier) Patschke
• Yevgeniya Patskevich, PA-C
• Yakub Sameerkhan Pattan, PT, MS.
• Sreya Pattanaik, MD
• Breindel Pattashnick

• All providers in Brooklyn, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.