Individual provider Active NPI

Alexis Kapoian, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1760631147
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TOO5323 Issued in NY
Practice address
11122 Flatlands Ave
Brooklyn, NY 11207-8234
Phone
(718) 257-9393
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TOO5323 NY Primary

Addresses

Primary practice location

11122 Flatlands Ave
Brooklyn, NY 11207-8234

Mailing address

111-22 Flatlands Avenue
Brooklyn, NY 11207
Phone (718) 257-9393

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
I20190916003111 NY Practitioner - Optometry 0345579355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Vision Center LLCGroup PAC ID 4284994047, 2 clinicians

Practice addresses (Care Compare)

8310 5TH Ave
Brooklyn, NY 11209-4511

8310 5TH Ave
Brooklyn, NY 11209-4571
Phone (718) 680-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TOO5323NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Vision Center LLC Optometrist CurrentSince Jul 21, 2019 Accepting new patients
Flatbush Optical of Starrette City Past Accepting new patients
Affordable Optical of Starett City, Inc. PastSince Oct 1, 2008 Accepting new patients

Locations

414 86th St
Brooklyn, NY 11209
Phone (718) 363-2020

Organizations & group practices 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1760631147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-22 FLATLANDS AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-257-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078234",
            "telephone_number": "718-257-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOIAN",
        "first_name": "ALEXIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TOO5323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.