Active NPI
Modern Optika ,Inc
Doing business as modern optical
- Optician
- Brooklyn, NY
National Provider Identifier
1861442022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0071631
- Legal business name
- MODERN OPTIKA ,INC
- Doing business as
- modern optical
- Practice address
- 453 Kings Hwy
Brooklyn, NY 11223-1803 - Phone
- (718) 336-1060
- Fax
- (718) 336-0113
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leonard Donde, OD
- Title
- Optician
- Phone
- (718) 336-1060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 0071631 | NY | Primary |
Addresses
Primary practice location
453 Kings Hwy
Brooklyn, NY 11223-1803
Mailing address
453 Kings Hwy
Brooklyn, NY 11223-1803
Phone (718) 336-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02376167 | Medicaid | NY |
Other names 1
- modern optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2141925 | Modern Optika Inc | Certificate of waiver | Mar 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Modern Optika Inc | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- eye_lakovitsky@modernoptical.eyefinity-direct.com
- sgivner@modernoptical.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Little Neck, NY
- NPI 1104821842
-
- Optometrist
- Brooklyn, NY
- NPI 1164522645
-
- Optician
- Brooklyn, NY
- NPI 1124196118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1861442022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231803",
"telephone_number": "718-336-1060",
"fax_number": "718-336-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231803",
"telephone_number": "718-336-1060",
"fax_number": "718-336-0113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN OPTIKA ,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "DONDE",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "718-336-1060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "0071631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02376167",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "modern optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
- Modern Medical Care of Ny PLLC
- Modern Medical Care PC
- Modern Medical PLLC
- Modern Medical Supply Inc
- Modern Medical Testing, P.C.
- Modern Pediatrics of Great New York, PC
- Modern Physician Services PC (ModernMD Urgent Care)
- Modern Podiatry PC
- Modern Psychiatric Nurse Practitioner PC
- Modern Psychiatric Services, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.