Individual provider Active NPI

Joseph Y. Bistricer, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1932152741
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV4092 Issued in NY
Practice address
1125 Lexington Ave
New York, NY 10075-0429
Phone
(212) 755-8927
Fax
(212) 753-8882
NPI assigned
May 19, 2006
Last updated
Jan 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV4092 NY Primary

Addresses

Primary practice location

1125 Lexington Ave
New York, NY 10075-0429

Mailing address

1125 Lexington Ave
New York, NY 10075-0429
Phone (212) 755-8927

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
I20101221000009 NY Practitioner - Optometry 9537357306 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optical Care LLCGroup PAC ID 5991086290, 3 clinicians

Practice addresses (Care Compare)

3117 23Rd Ave
Astoria, NY 11105-2488
Phone (718) 626-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV4092NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Care LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Ultimate Vision LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
B&B Eyes Inc. Optometrist Past Accepting new patients

Locations

3117 23rd Ave
Astoria, NY 11105
Phone (718) 626-9400

2250 86th St
Brooklyn, NY 11214
Phone (718) 372-2800

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1932152741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750429",
            "telephone_number": "212-755-8927",
            "fax_number": "212-753-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750429",
            "telephone_number": "212-755-8927",
            "fax_number": "212-753-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTRICER",
        "first_name": "JOSEPH",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.