Provider Demographics
NPI:1952409187
Name:VILINSKY, ALAN (OD)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:VILINSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 161ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3584
Mailing Address - Country:US
Mailing Address - Phone:718-681-9741
Mailing Address - Fax:
Practice Address - Street 1:220 E 161ST ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3543
Practice Address - Country:US
Practice Address - Phone:718-681-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003683152W00000X
NYTUV-0003683152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC56421Medicare PIN