Organization Active NPI

Alexander Tarnarider O.D.,P.C.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1902999279
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005462 Issued in NY
Legal business name
ALEXANDER TARNARIDER O.D.,P.C.
Practice address
319 Brighton Beach Ave
Brooklyn, NY 11235-7412
Phone
(718) 616-1600
Fax
(718) 616-0082
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Dr. Alexander Tarnarider, OD
Title
President
Phone
(718) 616-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005462 NY Primary

Addresses

Primary practice location

319 Brighton Beach Ave
Brooklyn, NY 11235-7412

Mailing address

319 Brighton Beach Ave
Brooklyn, NY 11235-7412
Phone (718) 616-1600

Other identifiers 1

IdentifierTypeStateIssuer
03108610MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040315000912 NY Part B Supplier - Clinic/Group Practice 7719876879 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20100930027869 NY DME Supplier - Physician - OptometristDME Supplier - Optician 7719876879 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alexander Tarnarider O.D.,P.C.319 Brighton Beach Ave, Brooklyn, NY 11235-7412(718) 616-1600 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1902999279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357412",
            "telephone_number": "718-616-1600",
            "fax_number": "718-616-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357412",
            "telephone_number": "718-616-1600",
            "fax_number": "718-616-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER TARNARIDER O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "TARNARIDER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-616-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03108610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2022; 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.