NPIMap

Organization Active NPI

Boris Ovodenko MD PC

Doing business as American Vision Group

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1841591989
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
235346 Issued in NY
Legal business name
BORIS OVODENKO MD PC
Doing business as
American Vision Group
Practice address
2613 E 16TH St
Brooklyn, NY 11235-3805
Phone
(718) 679-9449
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Boris Ovodenko, M.D.
Title
Owner
Phone
(718) 679-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 235346 NY Primary

Addresses

Primary practice location

2613 E 16TH St
Brooklyn, NY 11235-3805

Mailing address

2613 E 16TH St
Brooklyn, NY 11235-3805
Phone (718) 679-9449

Other names 1

  • American Vision Group Doing business as

National Provider Directory

National Provider Directory

Locations

1715 Dr Martin L King Jr Blvd
Bronx, NY 10453
Phone (718) 294-0700

28 Graham Ave
Brooklyn, NY 11206
Phone (718) 486-0117

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1841591989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "718-679-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "718-679-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS OVODENKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "OVODENKO",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-679-9449",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "235346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.