Organization Active NPI

Modern Optika ,Inc

Doing business as modern optical

  • Optician
  • Brooklyn, NY
National Provider Identifier
1861442022
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0071631 Issued in NY
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

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Leonard Donde, ODNPI 1124196118
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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02376167MedicaidNY

Other names 1

  • modern optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000435 NY Part B Supplier - Clinic/Group Practice 9234119397 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY
O20100930084384 NY DME Supplier - Optician 9234119397 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2141925Modern Optika Inc453 Kings Hwy, Brooklyn, NY 11223Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Modern Optika Inc453 Kings Hwy, Brooklyn, NY 11223-1803(718) 336-1060 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: eye_lakovitsky@modernoptical.eyefinity-direct.com
  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.