Organization Active NPI

Andrew Bienstock O.D. PLLC

Doing business as Spare Pair Vision Center

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1821255639
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005943 Issued in NY
Legal business name
ANDREW BIENSTOCK O.D. PLLC
Doing business as
Spare Pair Vision Center
Practice address
1300 Hylan Blvd
Staten Island, NY 10305-1900
Phone
(718) 987-2020
Fax
(718) 987-2202
NPI assigned
May 20, 2008
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Andrew Ian Bienstock, O.D.
Title
President
Phone
(718) 987-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005943 NY Primary

Addresses

Primary practice location

1300 Hylan Blvd
Staten Island, NY 10305-1900

Mailing address

1300 Hylan Blvd
Staten Island, NY 10305-1900
Phone (718) 987-2020

Other names 1

  • Spare Pair Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000100 NY Part B Supplier - Clinic/Group Practice 7416937875 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

1300 Hylan Blvd
Staten Island, NY 10305
Phone (347) 888-9448

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1821255639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051900",
            "telephone_number": "718-987-2020",
            "fax_number": "718-987-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051900",
            "telephone_number": "718-987-2020",
            "fax_number": "718-987-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW BIENSTOCK O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-987-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spare Pair Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.