Nimmy Vadakat

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009263 Issued in NY

Practice address

2196A White Plains Rd
Bronx, NY 10462-1406

Phone

(718) 513-3577

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Designer Optical of Plains Parkway Inc

  • Optometrist
  • Bronx, NY
  • NPI 1962009175
  Medicare reassignment NPD
• Designer Optical of Pelham

  • Health Maintenance Organization
  • Bronx, NY
  • NPI 1548431521
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1902496235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621406",
            "telephone_number": "718-513-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKAT",
        "first_name": "NIMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V.I.P. Physical Therapy, P.C.
• V.I.T. Black Car Transportation Corp
• V.V Pharmacy Inc
• VA Bronx
• Andrea M Vaccariello, LCSW-R
• Hima Vadakel
• Shajimon Vadakkan Itteera, PT
• Sushma Vaddigiri, M.D.
• Rajni Vadehra
• Sanjana Vadlamudi, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.