Bonafide Eyewear LLC
NPI 1720101223ActiveOrganization· Optometrist· Ridgewood, NY
Optometrist in Ridgewood, New York, registered in NPPES in April 2007. The authorized official on file is Alex Babayev, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720101223 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2007 |
| Last updated in NPPES | Apr 15, 2022 |
| Certified by provider | Apr 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | 4359 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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