NPIMap

Organization Active NPI

Manhattan Optometry and Ophthalmic Dispensing PLLC

  • Optometrist
  • New York, NY
National Provider Identifier
1780091272
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006404 Issued in NY
Legal business name
MANHATTAN OPTOMETRY AND OPHTHALMIC DISPENSING PLLC
Practice address
400 W 42ND St
New York, NY 10036-6809
Phone
(212) 430-2020
Fax
(212) 594-2964
NPI assigned
Jul 16, 2014
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mr. Leonid VaynerNPI 1225252802
Title
Owner/Optician
Phone
(718) 373-8510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006404 NY Primary

Addresses

Primary practice location

400 W 42ND St
New York, NY 10036-6809

Mailing address

187 Avenue U
Brooklyn, NY 11223-3741
Phone (718) 373-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203001690 NY Part B Supplier - Clinic/Group Practice 0143542019 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Manhattan Optometry and Ophthalmic Dispensing PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1780091272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366809",
            "telephone_number": "212-430-2020",
            "fax_number": "212-594-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN OPTOMETRY AND OPHTHALMIC DISPENSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "718-373-8510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.