Grand Concourse Bronx Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

003094 Issued in NY

Legal business name

GRAND CONCOURSE BRONX EYE CARE INC

Practice address

2376 Grand Concourse
Bronx, NY 10458-6907

Phone

(718) 365-6300

Fax

(718) 477-6702

NPI assigned

Apr 22, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Elaina Zavelensky

Title

MGR

Phone

(718) 365-6300

Specialties & licenses 2

Addresses

Other names 1

• Bronx Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rubana Rahman, OD

  • Optometrist
  • Bronx, NY
  • NPI 1477102333
  Medicare reassignment NPD
• Bora A. Yurter, O.D.

  • Optometrist
  • Elmhurst, NY
  • NPI 1619190915
  Medicare reassignment NPD

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1992096150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586907",
            "telephone_number": "718-365-6300",
            "fax_number": "718-477-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586907",
            "telephone_number": "718-365-6300",
            "fax_number": "718-477-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CONCOURSE BRONX EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "ZAVELENSKY",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "718-365-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003094",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV007588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bronx Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gramercy Cardiac Diagnostic SVCS, P.C.
• Vincent Gramuglia, DPM
• Marly Grana, M.D.
• Nitza Granados
• Antun Grancaric, PA-C
• Grand Concourse Health Wellness Medical, PC
• Grand Concourse Medical Practice, P.C.
• Grand Concourse Pharmacy Inc
• Grand Drugs Inc
• Grand Manor Health Related Facility Inc.

• 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 Nov 2, 2018; 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.