Individual provider Active NPI

Mariya Gurvich, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1689089120
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT008180 Issued in NY
Practice address
8721 4TH Ave
Brooklyn, NY 11209-5109
Phone
(718) 680-1500
NPI assigned
Jun 23, 2014
Last updated
Mar 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ORT008180 NY Primary

Addresses

Primary practice location

8721 4TH Ave
Brooklyn, NY 11209-5109

Mailing address

8721 4TH Ave
Brooklyn, NY 11209-5109
Phone (718) 680-1500

Other practice location 1

2960 Ocean Ave Ste 4
Brooklyn, NY 11235-3286
Phone (718) 646-2025

Other identifiers 1

IdentifierTypeStateIssuer
04297045MedicaidNY

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
I20151014000752 NY Practitioner - Optometry 5395054308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of Bay Ridge PCGroup PAC ID 1052202496, 3 clinicians

Practice addresses (Care Compare)

2960 Ocean Ave
Suite 4
Brooklyn, NY 11235-3286
Phone (718) 646-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ORT008180NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Optical Group 1 Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Brook Plaza Opthalmology Assoc PC CurrentSince Jun 17, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Ophthalmology Associates of Bay Ridge, P.C. CurrentSince Apr 1, 2026 Accepting new patients
Nyc Optical Group 1 Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Alexander Aizman, M.D.,P.C. PastSince Apr 1, 2026 Accepting new patients
Mark Fromer, MD PC PastSince Aug 5, 2015 Accepting new patients

Locations

1903 Utica Ave
Brooklyn, NY 11234

1987 Utica Ave
Brooklyn, NY 11234
Phone (718) 629-5590

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

2960 Ocean Ave
Ste 4
Brooklyn, NY 11235
Phone (718) 646-2025

6010 Bay Pkwy
Ste 101
Brooklyn, NY 11204
Phone (718) 339-6600

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

8721 4th Ave
Brooklyn, NY 11209
Phone (718) 238-3937

55 Water St
Fl 2
New York, NY 10041

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 8

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1689089120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-680-1500",
            "fax_number": "718-680-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-680-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Ocean Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353286",
            "country_code": "US",
            "telephone_number": "718-646-2025",
            "fax_number": "718-646-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURVICH",
        "first_name": "MARIYA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT008180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04297045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.