Organization Active NPI

Vision for Life Corp

  • Optometrist
  • Babylon, NY
National Provider Identifier
1679668727
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006534 Issued in NY
Legal business name
VISION FOR LIFE CORP
Practice address
66 Deer Park Ave
Babylon, NY 11702-2802
Phone
(631) 789-6103
Fax
(631) 789-6105
NPI assigned
Oct 4, 2006
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Aleksandra Anna Wianecka, O.D.NPI 1134164874
Title
President
Phone
(631) 789-6103

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
Optometrist 152W00000X TUV006534 NY Primary

Addresses

Primary practice location

66 Deer Park Ave
Babylon, NY 11702-2802

Mailing address

66 Deer Park Ave
Babylon, NY 11702-2802
Phone (631) 789-6103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000275 NY Part B Supplier - Clinic/Group Practice 5294794202 Receives reassigned benefits from 4 practitioners
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1679668727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022802",
            "telephone_number": "631-789-6103",
            "fax_number": "631-789-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022802",
            "telephone_number": "631-789-6103",
            "fax_number": "631-789-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION FOR LIFE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WIANECKA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-789-6103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.