Kingsboro Optometric PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KINGSBORO OPTOMETRIC PC

Practice address

6603 Bay Pkwy
Brooklyn, NY 11204

Phone

(718) 259-8489

NPI assigned

Jun 10, 2006

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

Gena Rochin, MD

Title

Owner

Phone

(718) 865-9174

Specialties & licenses 1

Addresses

Tax ID family

Kingsboro Optometric PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kingsboro Optometric PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1235361460
  NPD tax ID

Practitioners 1

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.

• Gena Kochin, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1548263833
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760423412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HOMECREST AVE",
            "address_2": "#216",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-865-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBORO OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCHIN",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-865-9174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsbay Car Service, Inc.
• Kingsbay Ym-Ywha
• Joseph P Kingsbery, M.D.
• Kingsboro Addiction Treatment Center
• Kingsboro Optometric PC
• Kingsboro PC
• Kingsboro Psychiatric Center
• Kingsboro Psychiatric Center
• Kingsboro Psychiatric Center
• Kingsboro Psychiatric Center

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician 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.