Super Optical Inc. - Medicare Optometrist in Bronx, NY

Super Optical Inc. is a medicare enrolled "Optometrist" provider in Bronx, New York. Their current practice location is 1549 Westchester Ave, Bronx, New York. You can reach out to their office (for appointments etc.) via phone at (917) 792-3500.

Super Optical Inc. is licensed to practice in New York (license number TUV005575) and it also participates in the medicare program. Super Optical Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922373000.

Contact Information

Super Optical Inc.
1549 Westchester Ave,
Bronx, NY 10472-2910
(917) 792-3500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSuper Optical Inc.
TypeFacility
SpecialityOptometrist
Location1549 Westchester Ave, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922373000
  • Provider Enumeration Date: 03/21/2012
  • Last Update Date: 03/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4082831300
  • Enrollment ID: O20140811001789

Medical Identifiers

Medical identifiers for Super Optical Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922373000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TUV005575 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Super Optical Inc. acts as a billing entity for following providers:
Provider NameAustin M White
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528012333
PECOS PAC ID: 2163595141
Enrollment ID: I20080724000213
Provider NameSijimol Sujoy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902172513
PECOS PAC ID: 6204098221
Enrollment ID: I20120508000464
Provider NameKristina Haidatov
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811482102
PECOS PAC ID: 2163761784
Enrollment ID: I20190226002633
Provider NameNerry Nayzov
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467767970
PECOS PAC ID: 5799025557
Enrollment ID: I20201119001207
Provider NameNathaniel Harooni
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447956180
PECOS PAC ID: 2567835341
Enrollment ID: I20230224002353

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Super Optical Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Super Optical Inc.
1549 Westchester Ave,
Bronx, NY 10472-2910

Ph: () -
Super Optical Inc.
1549 Westchester Ave,
Bronx, NY 10472-2910

Ph: (917) 792-3500

Reviews and Comments


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Fordham Vision Center Ny Llc
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Medicare: Medicare Enrolled
Practice Location: 1 E Fordham Rd, Bronx, NY 10468
Phone: 718-733-6700    Fax: 718-733-2756
Veronica Moore-stoll, OD
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Medicare: Medicare Enrolled
Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458
Phone: 718-741-3200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.