Provider Demographics
NPI:1689734410
Name:VISIONCARE OPTOMETRY, PC
Entity Type:Organization
Organization Name:VISIONCARE OPTOMETRY, PC
Other - Org Name:PERFECT EYE CARE OPTOMETRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-763-2020
Mailing Address - Street 1:4420 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4929
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1944 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5302
Practice Address - Country:US
Practice Address - Phone:718-763-2020
Practice Address - Fax:718-763-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006578152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100232325601OtherAMERICHOICE
NYC534H3OtherEMPIRE BCBS
NY6C0131OtherHEALTHNET
NY0135950OtherGHI
NY1980260OtherCIGNA
NY2323256OtherEMPIRE PLAN (NYSHIPP)
NYOP2742OtherEYEMED
NYP3662566OtherOXFORD
NYVUT006578OtherVYTRA
NY03140847Medicaid
NYC534H1OtherEMPIRE BCBS
NY178652OtherCHN
NY65020OtherOPTUM HEALTH
NY6555328OtherCIGNA
NY770805POtherHIP
NYC455A3OtherEMPIRE BCBS
NY6C0131OtherHEALTHNET
NY=========OtherUHC
NY0135950OtherGHI
NY770805POtherHIP