Vision World of Myrtle Avenue, Inc
NPI 1902353212ActiveOrganization· Optometrist· Ridgewood, NY
Optometrist in Ridgewood, New York, registered in NPPES in September 2016. The authorized official on file is Amy Grossberg, Od. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902353212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2016 |
| Last updated in NPPES | Nov 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TUV005267 | 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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