Dmitri Bondarenko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007091 Issued in NY

Practice address

10025 Queens Blvd
Forest Hills, NY 11375-2454

Phone

(718) 997-1400

NPI assigned

Jul 23, 2009

Last updated

Mar 15, 2021By 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

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

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Green Acres Vistasite IncGroup PAC ID 3072758994, 3 clinicians

Brooklyn Vista Site Eyecare Inc.Group PAC ID 0345492807, 2 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.

• Brooklyn Vista Site Eyecare Inc.

  dba Vista Site Eye Care

  • Optometrist
  • Brooklyn, NY
  • NPI 1891065512
  Medicare reassignment Care Compare group NPD
• Green Acres Vistasite Inc

  • Optometrist
  • Valley Stream, NY
  • NPI 1831442995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1730319724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752454",
            "telephone_number": "718-997-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752454",
            "telephone_number": "718-997-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDARENKO",
        "first_name": "DMITRI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina O Bolaji
• Ana Catalina Bolanos Guerrero
• Chetty Bologna
• Alena Bolten, CPNP-PC
• Dakota Natale Bonanno
• Lillieth Jeanette Boniello, MSW
• Bonnie S. Glassman DC PC
• Arsalan Boodhun
• Boon Speech Therapy PC
• Howard Scott Boriskin, MD

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.