BONAFIDE OPTICIANS
NPI 1083647705
Durable Medical Equipment & Medical Supplies in Brooklyn, NY
About Bonafide Opticians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONAFIDE OPTICIANS (NPI 1083647705) is a healthcare organization registered as a durable medical equipment & medical supplies in Brooklyn, New York and active in the NPI registry since July 2006. The organization lists Iqbal Venjara, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonafide Opticians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bonafide Opticians, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bonafide Opticians Of Ave L Inc's NPI number?
The NPI number for Bonafide Opticians Of Ave L Inc is 1083647705. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as Bonafide Opticians.
Where is Bonafide Opticians Of Ave L Inc located?
Bonafide Opticians Of Ave L Inc is located at 9508 Avenue L, Brooklyn, NY 11236. The listed phone number is (718) 444-3126.
What is Bonafide Opticians Of Ave L Inc's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Is Bonafide Opticians Of Ave L Inc enrolled in Medicare?
Yes. Bonafide Opticians Of Ave L Inc is registered in the Medicare PECOS enrollment system.
When is Bonafide Opticians Of Ave L Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bonafide Opticians Of Ave L Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Bonafide Opticians Of Ave L Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bonafide Opticians Of Ave L Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Bonafide Opticians Of Ave L Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bonafide Opticians Of Ave L Inc was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Bonafide Opticians · NPI 1083647705
Durable Medical Equipment & Medical Supplies organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1083647705 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Legal business name:** Bonafide Opticians Of Ave L Inc
- **Organization subpart:** No
- **Authorized official:** Iqbal Venjara, MANAGER
## Practice location
- **Address:** 9508 AVENUE L, Brooklyn, NY 11236-4811
- **Phone:** (718) 444-3126 · **Fax:** (718) 444-3126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2012
- **Other identifiers:** Medicare PIN A100076312 (NY); Medicaid 01501440 (NY); Medicare NSC 0764750001 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083647705) · Data from the CMS NPPES public registry.