Active NPI
Pratik Vyas, OD
- Optometrist
- Menands, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T008390
- Practice address
- 3 Dutch VLG
BR
Menands, NY 12204-2905 - Phone
- (562) 650-0415
- NPI assigned
- Jun 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1245994581
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Skilled Nursing Facility
- New York, NY
- NPI 1922016781
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care Vision Optometry PCSightrite IncIcare Optometry of Pennsylvania PC
Practice addresses (Care Compare)
260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738
428 State Route 146
Altamont, NY 12009-4409
Phone (518) 861-5921
8410 Roosevelt Blvd
Philadelphia, PA 19152-2012
Phone (267) 635-7089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160822002034 | NY | Practitioner - Optometry | 0749575363 | Reassigns benefits to 4 organizations |
| I20220414000702 | PA | Practitioner - Optometry | 0749575363 | Reassigns benefits to 3 organizations |
| I20250519000373 | VT | Practitioner - Optometry | 0749575363 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008390 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Eye Care Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
| Sightrite Inc | Optometrist | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Sight Services P.C. | Optometrist | Current | Accepting new patients |
| Icare Optometry of Pennsylvania PC | Optometrist | Current | Accepting new patients |
| Swift Optometry Care PC | Optometrist | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141
250 Skillman St
Ste 202
Brooklyn, NY 11205
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
19106 Hillside Ave
Jamaica, NY 11423
Phone (718) 439-8533
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
50 Water St
Fl 3
New York, NY 10004
15 Canal Rd
Pelham, NY 10803
Phone (646) 362-4601
275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913
260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850
498 Washington St
Easton, PA 18042
Phone (610) 253-4821
8410 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 708-1200
100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002
440 N River St
Wilkes Barre, PA 18702
Phone (267) 635-7089
1248 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-8757
Interoperability endpoints
- pvyas3605239@nychhc.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T008390 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3 Dutch VLG
BR
Menands, NY 12204-2905
Mailing address
3 Dutch VLG
BR
Menands, NY 12204-2905
Phone (562) 650-0415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2016.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1992155196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DUTCH VLG",
"address_2": "BR",
"city": "MENANDS",
"state": "NY",
"postal_code": "122042905",
"telephone_number": "562-650-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DUTCH VLG",
"address_2": "BR",
"city": "MENANDS",
"state": "NY",
"postal_code": "122042905",
"telephone_number": "562-650-0415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "PRATIK",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T008390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.