NEW YORK OPTICAL GROUP INC
NPI 1093408486
Optometrist in Bronx, NY

Q: What is New York Optical Group Inc's NPI number?

The NPI number for New York Optical Group Inc is 1093408486. It was assigned to this organization in the NPPES registry on May 31, 2023. The provider is doing business as New York Optical Center.

Q: What is New York Optical Group Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 31, 2023

1 E KINGSBRIDGE RD, BRONX, NY 10468(718) 550-2020 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About New York Optical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW YORK OPTICAL GROUP INC (NPI 1093408486), doing business as New York Optical Center, is a healthcare organization registered as an optometrist in Bronx, New York and active in the NPI registry since May 2023. The organization lists Jessica Matilde Betancourt, Owner, as its authorized official.

NPPES Registry Identity

NPI1093408486

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNEW YORK OPTICAL GROUP INC

Location Address1 E KINGSBRIDGE RDBronx, NY 10468-7501

Mailing Address1 E Kingsbridge RdBronx, NY 10468-7501 · (718) 550-2020

Phone(718) 550-2020

Organization SubpartNo

Authorized OfficialJessica Matilde BetancourtOwner · (718) 550-2020

Enumeration DateMay 31, 2023

NPPES CertifiedMay 31, 2023

✔ NPI 1093408486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1 E KINGSBRIDGE RD, Bronx, NY 10468

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Other Names 1

Doing Business AsNew York Optical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Optical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New York Optical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Dibenedetto, OD

Optometry

NPI 1548885932

2 W BURNSIDE AVE
Bronx, NY 10453

(718) 280-1332

✔ PECOS✔ Accepts Medicare1.2 mi

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 New York Optical Group Inc's NPI number?

The NPI number for New York Optical Group Inc is 1093408486. It was assigned to this organization in the NPPES registry on May 31, 2023. The provider is doing business as New York Optical Center.

Where is New York Optical Group Inc located?

New York Optical Group Inc is located at 1 E Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 550-2020.

What is New York Optical Group Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is New York Optical Group Inc enrolled in Medicare?

Yes. New York Optical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New York Optical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to New York Optical Group 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 New York Optical Group Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list New York Optical Group 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 New York Optical Group Inc was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.