Organization Active NPI

Midwood Family Vision

  • Optician
  • Brooklyn, NY
National Provider Identifier
1740380419
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C006707-1 Issued in NY
Legal business name
MIDWOOD FAMILY VISION
Practice address
1714 Avenue M
Brooklyn, NY 11230-5304
Phone
(718) 375-4300
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Yan Rubinsky, OPTICIANNPI 1497862726
Title
President
Phone
(718) 375-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X C006707-1 NY Primary

Addresses

Primary practice location

1714 Avenue M
Brooklyn, NY 11230-5304

Mailing address

1714 Avenue M
Brooklyn, NY 11230-5304
Phone (718) 375-4300

Other identifiers 3

IdentifierTypeStateIssuer
1000350000OtherNYUFT
02040646MedicaidNY
14592OtherNYSPECTERA

National Provider Directory

National Provider Directory

Locations

1703 Avenue M
Brooklyn, NY 11230
Phone (718) 375-4300

1714 Avenue M
Brooklyn, NY 11230
Phone (718) 375-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1740380419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305304",
            "telephone_number": "718-375-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305304",
            "telephone_number": "718-375-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD FAMILY VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RUBINSKY",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-375-4300",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C006707-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UFT",
            "identifier": "1000350000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02040646",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.