Organization Active NPI

Oasis Vision Center

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1922066653
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005451 Issued in NY
Legal business name
OASIS VISION CENTER
Practice address
7411 5TH Ave
Brooklyn, NY 11209-2713
Phone
(718) 921-4827
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Stavros Perlegis, O.D.NPI 1558330050
Title
President
Phone
(718) 921-4827

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 005451 NY Primary

Addresses

Primary practice location

7411 5TH Ave
Brooklyn, NY 11209-2713

Mailing address

7411 5TH Ave
Brooklyn, NY 11209-2713
Phone (718) 921-4827

Other identifiers 1

IdentifierTypeStateIssuer
01630111MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104000228 NY Part B Supplier - Clinic/Group Practice 0345139549 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

7411 5th Ave
Ste A
Brooklyn, NY 11209
Phone (718) 921-4827

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1922066653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092713",
            "telephone_number": "718-921-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092713",
            "telephone_number": "718-921-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "PERLEGIS",
        "authorized_official_first_name": "STAVROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-921-4827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630111",
            "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 Nov 18, 2008; 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.