Vision World of Ridgewood Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005267 Issued in NY

Legal business name

VISION WORLD OF RIDGEWOOD INC.

Practice address

5752 Myrtle Ave
Ridgewood, NY 11385-4940

Phone

(718) 497-2020

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Amy Cooper Grossberg, ODNPI 1427115633

Title

Vice-President

Phone

(718) 497-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Cooper Grossberg, OD

  • Optometrist
  • Roslyn Heights, NY
  • NPI 1427115633
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1831247410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854940",
            "telephone_number": "718-497-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5752 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854940",
            "telephone_number": "718-497-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION WORLD OF RIDGEWOOD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "COOPER GROSSBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-497-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01561586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Villamia, LCSW
• Amin Villaran, CASAC # 33961
• Danielle Vilsaint, FNP
• Amy Visintainer
• Vision World of Myrtle Avenue, Inc
• Wal Occupational Therapy PC
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Optometrist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.