BROADWAY VISION CENTER INC. (NPI# 1982704862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982704862 |
| Entity Type | Organization |
| Organization Name | BROADWAY VISION CENTER INC. |
| Other Organization Name | BROADWAY VISION CENTER |
| Practice Address |
3582 Broadway New York NY 10031-3201 |
| Practice Telephone | 2122342020 |
| Practice Fax Number | 2122344609 |
| Mailing Telephone | 2122342020 |
| Mailing Fax Number | 2122344609 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | DR. NICHOLAS A. RADETZKY (OD) |
| Authorized Official Telephone | 2122342020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4372 | NY | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Broadway Vision Center | Doing Business As Name - Organization |
| Street Address |
3582 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967682 | Nicholas A. Radetzky | Optometrist | 3582 Broadway, New York, NY 10031-3201 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883675 | Lisa Tian Chen | Physician Assistant | 160 Convent Ave., Harris Hall #15, New York, NY 10031 | 2019-10-18 |
| 1699329144 | Dianna Rosario | Registered Nurse | 640 Riverside Drive, New York, NY 10031 | 2019-08-01 |
| 1447767058 | Sophie Jetta Miller | Social Worker | 507 West 140th Street, #43, New York, NY 10031 | 2018-01-04 |
| 1376074005 | Broadway Rx Enterprises Inc | Pharmacy | 3489 Broadway, New York, NY 10031 | 2017-03-24 |
| 1174061469 | Mbene Diop | In Home Supportive Care | 505 West 148 St Apt 4a, New York, NY 10031 | 2017-02-07 |
| 1447702691 | Sylvan Roger Maginley Jr. | General Practice | 302 Convent Avenue 6, New York, NY 10031 | 2016-11-03 |
| 1477009124 | Anthony Mcfadden | Counselor | 625 West 140th Street, Manhattan, NY 10031 | 2016-08-31 |
| 1942754601 | E-green Pharmacy Inc | Pharmacy | 3500 Broadway, New York, NY 10031 | 2016-08-11 |
| 1356712657 | Sandra Bulos | Internal Medicine | 3410-18 Broadway 2nd Fl, New York, NY 10031 | 2015-10-13 |
| 1033591375 | Phillip Carron | Family Medicine | 3556 Broadway, New York, NY 10031 | 2015-06-23 |
| Find all providers in zip 10031 | ||||
| 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 |
|---|---|---|---|---|
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1437767167 | Irene Byun | Optometrist | 183 Mott St Apt 5c, New York, NY 10012-4597 | 2020-07-20 |
| 1841814043 | Zhongyue Hu | Optometrist | 33 W 42nd St Rm 1128, New York, NY 10036-8005 | 2020-06-03 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1609429414 | Satija Vision Care Optometry, P.C. | Optometrist | 404 E 117th St Fl 1, New York, NY 10035-5020 | 2019-07-21 |
| 1053973826 | Tara M. Mahvelati | Optometrist | 33 W 42nd St - Suny College of Optometry, New York, NY 10036-8005 | 2019-07-02 |
| 1003476870 | Matthew C Burke | Optometrist | 110 E 40th St Fl 6, New York, NY 10016-1801 | 2019-06-14 |
| 1982263265 | Mina Chen | Optometrist | 345 W 58th St Apt 2b, New York, NY 10019-1130 | 2019-06-10 |
| 1679031413 | West Side Eye Specs LLC | Optometrist | 2165 Broadway, New York, NY 10024-6603 | 2019-03-12 |
| Find all providers in NEW YORK | ||||
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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.