Individual provider Active NPI

Victoria Bolbirer, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1700821048
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006133 Issued in NY
Practice address
1721 Avenue M
Brooklyn, NY 11230-5303
Phone
(332) 322-2020
Fax
(323) 322-1010
NPI assigned
Jun 19, 2006
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006133 NY Primary

Addresses

Primary practice location

1721 Avenue M
Brooklyn, NY 11230-5303

Mailing address

200 Corbin PL Apt 4a
Brooklyn, NY 11235-4938
Phone (917) 327-6903

Other identifiers 1

IdentifierTypeStateIssuer
02378343MedicaidNY

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
I20061120000645 NY Practitioner - Optometry 6305844663 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Starlight Optical Inc.Group PAC ID 6002051745, 2 clinicians
Ocean View Optical of Brooklyn IncGroup PAC ID 2163492745, 3 clinicians

Practice addresses (Care Compare)

1501 Gravesend Neck Rd
Brooklyn, NY 11229-4434
Phone (718) 787-4111

1721 Ave M
Brooklyn, NY 11230-5303
Phone (332) 322-2020

254 Brighton Beach Ave
Brooklyn, NY 11235-7427
Phone (718) 769-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T006133NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Starlight Optical Inc Optometrist CurrentSince Jul 27, 2017 Accepting new patients
Starlight Optical Ny Inc Optometrist CurrentSince Jun 29, 2026 Accepting new patients
V. Bolbirer OD P.C. Optometrist CurrentSince Sep 16, 2019 Accepting new patients
Oceanview Optical of Brooklyn Inc Optometrist CurrentSince Mar 1, 2022 Accepting new patients

Locations

1721 Avenue M
Brooklyn, NY 11230
Phone (332) 322-2020

254 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 769-9800

Organizations & group practices 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1700821048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORBIN PL APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354938",
            "telephone_number": "917-327-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305303",
            "telephone_number": "332-322-2020",
            "fax_number": "323-322-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLBIRER",
        "first_name": "VICTORIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02378343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.