Individual provider Active NPI

Eleonora Zusman Orloff

  • Optometrist
  • Bronx, NY
National Provider Identifier
1902902521
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006117 Issued in NY
Practice address
665 Pelham Pkwy North
Bronx, NY 10464
Phone
(718) 547-2020
Fax
(718) 547-3021
NPI assigned
Sep 15, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT006117 NY Primary

Addresses

Primary practice location

665 Pelham Pkwy North
Bronx, NY 10464

Mailing address

665 Pelham Pkwy North
Bronx, NY 10464
Phone (718) 547-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120319000024 NY Practitioner - Optometry 8123160900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Green Acres Vistasite IncGroup PAC ID 3072758994, 3 clinicians
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Practice addresses (Care Compare)

1088 Green Acres Mall
Suite 118
Valley Stream, NY 11581-1535
Phone (516) 568-2010

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006117NYMDMental Health Counselor
VUT006117NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Vision Group Inc Optometrist CurrentSince Nov 11, 2025 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Green Acres Vistasite Inc Optometrist CurrentSince Dec 2, 2012 Accepting new patients
Smart Medical PLLC CurrentSince Oct 27, 2023 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

665 Pelham Pkwy N
Apt 202
Bronx, NY 10467
Phone (718) 547-2020

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

1088 Green Acres Mall
#118
Valley Stream, NY 11581
Phone (516) 568-2010

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1902902521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY NORTH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10464",
            "telephone_number": "718-547-2020",
            "fax_number": "718-547-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY NORTH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10464",
            "telephone_number": "718-547-2020",
            "fax_number": "718-547-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOFF",
        "first_name": "ELEONORA",
        "middle_name": "ZUSMAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.