Brooklyn Bridge Vision Associates Incorporated

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005287-1 Issued in NY

Legal business name

BROOKLYN BRIDGE VISION ASSOCIATES INCORPORATED

Practice address

167 Lincoln Place
Brooklyn, NY 11217

Phone

(718) 768-2553

NPI assigned

Feb 27, 2007

Last updated

Aug 22, 2020By 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

Robert ZimmermanNPI 1548397854

Title

Ophthalmic Dispenser

Phone

(732) 617-9091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Robert Zimmerman, OPHTHALMIC DISPENSER

  • Optician
  • Brooklyn, NY
  • NPI 1548397854
  NPD (past) Authorized official
• Andrea M Zimmerman, O.D.

  • Optometrist
  • New York, NY
  • NPI 1760414569
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730216011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LINCOLN PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11217",
            "telephone_number": "718-768-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LINCOLN PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11217",
            "telephone_number": "718-768-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN BRIDGE VISION ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPHTHALMIC DISPENSER",
        "authorized_official_telephone_number": "732-617-9091"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005287-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02316690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brooklyn Boulevard Alp
• Brooklyn Bridge Medical Associates. PLLC.
• Brooklyn Bright Smile Dental, PC
• Brooklyn Bureau of Community Service
• Brooklyn Bureau of Community Service
• Brooklyn Bureau of Community Service
• Brooklyn Bureau of Community Service

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.