Individual provider Active NPI

Romanna Volosyanko

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1699319459
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009079 Issued in NY
Practice address
482 86TH St
Brooklyn, NY 11209-4708
Phone
(718) 879-8182
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 009079 NY Primary

Addresses

Primary practice location

482 86TH St
Brooklyn, NY 11209-4708

Mailing address

2030 81St St Apt 2Ft
Brooklyn, NY 11214-1807
Phone (646) 508-0413

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
I20191206001247 NY Practitioner - Optometry 3476986357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1354 Nyc Optical LLCGroup PAC ID 2163807090, 3 clinicians
482 Nyc Optical LLCGroup PAC ID 3274971890, 2 clinicians

Practice addresses (Care Compare)

1354 PA Ave
Brooklyn, NY 11239-2111
Phone (718) 642-3526

482 86TH St
Brooklyn, NY 11209-4708
Phone (718) 879-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
1354 Nyc Optical LLC Optometrist CurrentSince May 29, 2023 Accepting new patients
482 Nyc Optical LLC Optometrist CurrentSince Feb 2, 2024 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Feb 11, 2021 Accepting new patients

Locations

482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182

1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526

5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1699319459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 81ST ST APT 2FT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141807",
            "telephone_number": "646-508-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094708",
            "telephone_number": "718-879-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLOSYANKO",
        "first_name": "ROMANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.