Rostislav Ryvkin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006615 Issued in NY

Practice address

105 Kings Hwy
Apt 3a
Brooklyn, NY 11214-1550

Phone

(718) 332-1017

Fax

(718) 332-1354

NPI assigned

Nov 16, 2005

Last updated

Dec 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista on 3Rd IncGroup PAC ID 8426389941, 2 clinicians

Bronx Vista Inc.Group PAC ID 3971805151, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vista on 3Rd Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1144878778
  Medicare reassignment Care Compare group NPD Authorized official
• Bronx Vista Inc

  • Optometrist
  • Bronx, NY
  • NPI 1689044067
  Medicare reassignment Care Compare group NPD
• Bronx Vista Optique, Inc

  • Optometrist
  • Bronx, NY
  • NPI 1356831762
  Medicare reassignment Authorized official
• V&R Optometric Associates

  • Optometrist
  • Brooklyn, NY
  • NPI 1134188667
  NPD (past) Authorized official
• Allerton Eye Care LLC

  • Optometrist
  • Bronx, NY
  • NPI 1780368647
  NPD (past)
• E&I Optical, Inc

  dba Vision Palace

  • Optometrist
  • Brooklyn, NY
  • NPI 1164518577
  NPD (past)
• JG Vision Associates,Inc

  dba Envisage

  • Optician
  • Bronx, NY
  • NPI 1861438707
  NPD (past)
• Kingsboro Optometric PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1235361460
  NPD (past)
• Nostrand Optical, Inc

  • Optician
  • Brooklyn, NY
  • NPI 1831275510

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1699757526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY",
            "address_2": "APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141525",
            "telephone_number": "718-513-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY",
            "address_2": "APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141550",
            "telephone_number": "718-332-1017",
            "fax_number": "718-332-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYVKIN",
        "first_name": "ROSTISLAV",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alla Ryshalova, MS
• Sonja Ryst, M.A., CF-SLP
• Andrew Ryu
• Igor Ryvkin, RN
• Matthew Ryvkin
• Sheyna Ryvkin
• Anika Celine Rywkin
• Yana Ryzhakova, NURSE PRACTITIONER
• Justyna Maria Rzewinski
• S & a Unified Home Care, Inc.

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.