Organization Active NPI

Vip Eye Care Optometry P.C.

  • Optometrist
  • New York, NY
National Provider Identifier
1699117689
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007869-1 Issued in NY
Legal business name
VIP EYE CARE OPTOMETRY P.C.
Practice address
714 W 181St St
New York, NY 10033-4702
Phone
(212) 517-0999
NPI assigned
Jul 19, 2013
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Inna Vanin
Title
Billing Manager
Phone
(347) 401-2629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007869-1 NY Primary

Addresses

Primary practice location

714 W 181St St
New York, NY 10033-4702

Mailing address

714 W 181St St
New York, NY 10033-4702

Other practice location 1

593 E Tremont Ave
Bronx, NY 10457-4727
Phone (718) 310-3303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212000455 NY Part B Supplier - Clinic/Group Practice 1355578667 Receives reassigned benefits from 4 practitioners
Practice locations: New York, 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": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1699117689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334702",
            "telephone_number": "212-517-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574727",
            "country_code": "US",
            "telephone_number": "718-310-3303",
            "fax_number": "718-717-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIP EYE CARE OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "VANIN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "347-401-2629"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007869-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.