Dmitry Gurevich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005953 Issued in NY

Practice address

1913 Kings Hwy
Brooklyn, NY 11229-1313

Phone

(917) 933-9090

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State University of New York - State College Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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 and National Provider Directory roles.

• Kings Vistasite Eyecare Inc.

  • Optometrist
  • Brooklyn, NY
  • NPI 1932544418
  Medicare reassignment NPD Authorized official
• Alleyes Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1841682341
  NPD
• Fort Tryon Optical Inc.

  • Optometrist
  • New York, NY
  • NPI 1215238282
  NPD (past)
• Gama Management Inc.

  dba Alfa Vision

  • Optometrist
  • Brooklyn, NY
  • NPI 1215009089
  NPD (past)
• Mda Management Inc

  dba Opticana Ny

  • Optician
  • New York, NY
  • NPI 1528116282

  Optometrist

  NPD (past)
• Mda Optical Lab Corporation

  • Optometrist
  • Brooklyn, NY
  • NPI 1578815320
  NPD (past)
• New York Eye Associates, LLC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1770598369
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1750456133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 VAN SICKLEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232750",
            "telephone_number": "917-449-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291313",
            "telephone_number": "917-933-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112158031",
            "country_code": "US",
            "telephone_number": "718-832-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUREVICH",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005953",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02118174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tal Gur, MT-BC, LCAT
• Rivkah Gurary, MS ED
• Michelle Gurdon
• Esther Gurell, OD
• Michael Gurell
• Irina Gurevich
• Karina Gurevich, MSPT
• Marina Gurevich
• Marina Gurevich, RPH
• Nicole Gurevich

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, 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 13, 2020; 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.