Individual provider Active NPI

Kevin Arriete, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1730984980
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011136 Issued in NY
Practice address
4501 5TH Ave
Brooklyn, NY 11220-1205
Phone
(718) 879-8171
Fax
(347) 434-9876
NPI assigned
Feb 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 011136 NY Primary

Addresses

Primary practice location

4501 5TH Ave
Brooklyn, NY 11220-1205

Mailing address

4501 5TH Ave
Brooklyn, NY 11220-1205
Phone (718) 879-8171

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
I20250227001321 NY Practitioner - Optometry 8224558796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4501 Nyc Optical LLCGroup PAC ID 6406253657, 2 clinicians
482 Nyc Optical LLCGroup PAC ID 3274971890, 2 clinicians

Practice addresses (Care Compare)

4501 5TH Ave
Brooklyn, NY 11220-1205
Phone (718) 879-8171

482 86TH St
Brooklyn, NY 11209-4708
Phone (718) 879-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
482 Nyc Optical LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
4501 Nyc Optical LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients

Locations

482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182

4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1730984980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201205",
            "telephone_number": "718-879-8171",
            "fax_number": "347-434-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201205",
            "telephone_number": "718-879-8171",
            "fax_number": "347-434-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETE",
        "first_name": "KEVIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.