NYC OPTICAL GROUP LLC
NPI 1023655883
Optometrist in Brooklyn, NY
About Nyc Optical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NYC OPTICAL GROUP LLC (NPI 1023655883) is a healthcare organization registered as an optometrist in Brooklyn, New York and active in the NPI registry since November 2019. The organization lists Andrey Gan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nyc Optical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Nyc Optical Group LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nyc Optical Group LLC's NPI number?
The NPI number for Nyc Optical Group LLC is 1023655883. It was assigned to this organization in the NPPES registry on November 28, 2019.
Where is Nyc Optical Group LLC located?
Nyc Optical Group LLC is located at 5623 5th Ave, Brooklyn, NY 11220. The listed phone number is (718) 635-9333.
What is Nyc Optical Group LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nyc Optical Group LLC enrolled in Medicare?
Yes. Nyc Optical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nyc Optical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Nyc Optical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nyc Optical Group LLC was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nyc Optical Group Llc · NPI 1023655883
Optometrist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since November 28, 2019.
## Identity
- **NPI:** 1023655883 (Entity type: Organization)
- **Enumerated:** November 28, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Andrey Gan, OWNER
## Practice location
- **Address:** 5623 5TH AVE, Brooklyn, NY 11220-3414
- **Phone:** (718) 635-9333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023655883) · Data from the CMS NPPES public registry.