Individual provider Active NPI

Buck Sverdlin, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1801149828
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007947 Issued in NY
Practice address
304 Manhattan Ave Apt 2
Brooklyn, NY 11211-3724
Phone
(310) 895-3422
NPI assigned
Oct 16, 2012
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14553 CA
Optometrist 152W00000X 007947 NY Primary

Addresses

Primary practice location

304 Manhattan Ave Apt 2
Brooklyn, NY 11211-3724

Mailing address

1427 Berkeley St Apt 7
Santa Monica, CA 90404-3200
Phone (310) 895-3422

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
I20130612000316 NY Practitioner - Optometry 1951540517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical Ny PLLCGroup PAC ID 0446799050, 4 clinicians

Practice addresses (Care Compare)

48 Graham Ave
Brooklyn, NY 11206-4002
Phone (718) 388-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14553CAMDOptometrist
007947NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Tabachnick, OD PC Optometrist CurrentSince Mar 7, 2013 Accepting new patients
Wayne Tabachnick OD PC Optometrist Current Accepting new patients
Focus Medical Ny, PLLC Optometrist CurrentSince Jul 20, 2024 Accepting new patients

Locations

48 Graham Ave
Brooklyn, NY 11206
Phone (718) 388-7400

7501 Paragon Rd
Ste 201
Dayton, OH 45459

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1801149828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 BERKELEY ST APT 7",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043200",
            "telephone_number": "310-895-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MANHATTAN AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113724",
            "telephone_number": "310-895-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVERDLIN",
        "first_name": "BUCK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14553",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.