Organization Active NPI

JL Vision, Inc

Doing business as Visionary Optics

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1861849671
Registry record updated May 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006963 Issued in NY
Legal business name
JL VISION, INC
Doing business as
Visionary Optics
Practice address
306 Court St
Brooklyn, NY 11231-4336
Phone
(718) 596-3740
Fax
(718) 596-4023
NPI assigned
May 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2016

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

Authorized official

Name
Dr. Lee Gelman, ODNPI 1407883481
Title
Treasurer
Phone
(718) 596-3740

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006963 NY Primary

Addresses

Primary practice location

306 Court St
Brooklyn, NY 11231-4336

Mailing address

306 Court St
Brooklyn, NY 11231-4336
Phone (718) 596-3740

Other names 1

  • Visionary Optics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413000123 NY Part B Supplier - Clinic/Group Practice 5890071534 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

315 Court St
Brooklyn, NY 11231
Phone (718) 596-3740

Practitioners & affiliated clinicians

Practitioners 8

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": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1861849671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314336",
            "telephone_number": "718-596-3740",
            "fax_number": "718-596-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314336",
            "telephone_number": "718-596-3740",
            "fax_number": "718-596-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-596-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Optics",
            "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 May 21, 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.