Allerton Eye Care LLC
Organization Active NPI Optometrist · Bronx, NY
NPI 1780368647 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1780368647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ALLERTON EYE CARE LLC
- Practice address
- 702 Allerton Ave
Bronx, NY 10467-8218 - Phone
- (718) 654-2020
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Allan Gugilev
- Title
- Owner
- Phone
- (917) 667-6611
Practitioners 16
-
Riti Chhibba, OD
-
Rebecca Moran, O.D
-
Hernando Alfonso, OD
-
Michael Bernstein, O.D.
-
Tammy Ngo, O.D.
-
Marni Bessler, OD
-
Elliot R Roth, O.D.
-
Rostislav Ryvkin, O.D.
-
Aarti K Sharma, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230718002157 | NY | Part B Supplier - Clinic/Group Practice | 7012377369 |
Receives reassigned benefits from 7 practitioners Practice locations: Bronx, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
702 Allerton Ave
Bronx, NY 10467-8218
Mailing address
702 Allerton Ave
Bronx, NY 10467-8218
Phone (718) 654-2020
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.