Parkville Vision Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

005351 Issued in NY

Legal business name

PARKVILLE VISION CENTER INC

Practice address

739 Ocean Pkwy
Brooklyn, NY 11230-1113

Phone

(718) 434-0881

NPI assigned

Jul 20, 2008

Last updated

Jul 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tanya KontorovichNPI 1780781641

Title

President

Phone

(718) 434-0881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Tanya Kontorovich, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1780781641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1699930693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-434-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVILLE VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "KONTOROVICH",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-0881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "005351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.