482 NYC OPTICAL LLC
NPI 1093577710
Optometrist in Brooklyn, NY

Q: What is 482 Nyc Optical LLC's NPI number?

The NPI number for 482 Nyc Optical LLC is 1093577710. It was assigned to this organization in the NPPES registry on January 29, 2024.

Q: What is 482 Nyc Optical LLC's specialty?

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

Active since January 29, 2024

482 86TH ST, BROOKLYN, NY 11209(718) 879-8182(347) 390-0649 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About 482 Nyc Optical Llc NPPES

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

482 NYC OPTICAL LLC (NPI 1093577710) is a healthcare organization registered as an optometrist in Brooklyn, New York and active in the NPI registry since January 2024. The organization lists Elena Pak, Manager, as its authorized official.

NPPES Registry Identity

NPI1093577710

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business Name482 NYC OPTICAL LLC

Location Address482 86TH STBrooklyn, NY 11209-4708

Mailing Address482 86th StBrooklyn, NY 11209-4708 · (718) 879-8182 · Fax (347) 390-0649

Phone(718) 879-8182

Fax(347) 390-0649

Organization SubpartNo

Authorized OfficialElena PakManager · (929) 924-6019

Enumeration DateJanuary 29, 2024

Last NPPES UpdateJanuary 20, 2025

NPPES CertifiedJanuary 20, 2025

✔ NPI 1093577710 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.

482 86TH ST, Brooklyn, NY 11209

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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)

482 Nyc Optical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to 482 Nyc Optical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Romanna Volosyanko

Optometry

NPI 1699319459

482 86TH ST
Brooklyn, NY 11209

(718) 879-8182

✔ PECOS✔ Accepts MedicareSame address

Kevin Arriete, OD

Optometry

NPI 1730984980

4501 5TH AVE
Brooklyn, NY 11220

(718) 879-8171

✔ PECOS✔ Accepts Medicare2.1 mi

Syeda Hussaini

Optometry

NPI 1902457112

337 HAROLD ST
Staten Island, NY 10314

(347) 469-6675

✔ PECOS5.8 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 482 Nyc Optical LLC's NPI number?

The NPI number for 482 Nyc Optical LLC is 1093577710. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is 482 Nyc Optical LLC located?

482 Nyc Optical LLC is located at 482 86th St, Brooklyn, NY 11209. The listed phone number is (718) 879-8182.

What is 482 Nyc Optical LLC's specialty?

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

Is 482 Nyc Optical LLC enrolled in Medicare?

Yes. 482 Nyc Optical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 482 Nyc Optical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to 482 Nyc Optical 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 482 Nyc Optical LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list 482 Nyc Optical LLC 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 482 Nyc Optical LLC was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.