G&M RIVIERA OPTICAL SUPPLIES (NPI# 1811056963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811056963 |
| Entity Type | Organization |
| Organization Name | G&M RIVIERA OPTICAL SUPPLIES |
| Practice Address |
5572 Broadway Bronx NY 10463-5216 |
| Practice Telephone | 7188844297 |
| Practice Fax Number | 7188844403 |
| Mailing Telephone | 7188844297 |
| Mailing Fax Number | 7188844403 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL FAYNBLUT (PRESIDENT) |
| Authorized Official Telephone | 7188844297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01479809 | 05 |
| Street Address |
5572 BROADWAY |
| City | BRONX |
| State | NY |
| Zip Code | 10463-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417162546 | Nickolas George Vlantis | Optometrist | 5572 Broadway, Bronx, NY 10463-5216 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1710540471 | Family Optometry 121 PC | Optometrist | 3300 Third Ave, Bronx, NY 10456-6748 | 2019-04-18 |
| 1942761002 | Eye Design Optical LLC | Optometrist | 1571 Westchester Ave, Bronx, NY 10472-2912 | 2019-03-29 |
| 1124590963 | Rs Eyes Inc | Optometrist | 2 W Burnside Ave, Bronx, NY 10453-4004 | 2018-12-18 |
| 1760904130 | Gianinna Jandy Saa | Optometrist | 2204 Bartow Ave, Bronx, NY 10475-4616 | 2017-07-07 |
| 1144778663 | Nk Optometry Pllc | Optometrist | 233a E 149th St, Bronx, NY 10451-1866 | 2016-09-13 |
| 1447608732 | Family Optometry Care PC | Optometrist | 385 E 149th St, Bronx, NY 10455-3902 | 2016-05-27 |
| 1780043612 | Change I Wear Inc | Optometrist | 1755 Crosby Ave, 2j, Bronx, NY 10461-4901 | 2016-02-20 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.