1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Optometrist
  6. NPI Profile

GRACE OPTICAL
NPI 1114996840
Optometrist in Bronx, NY

Active since March 15, 2006
3409 JEROME AVE, BRONX, NY 10467(718) 231-9000 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Optical NPPES

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

GRACE OPTICAL (NPI 1114996840) is a healthcare organization registered as an optometrist in Bronx, New York and active in the NPI registry since March 2006. The organization lists Jiyoung Yoon, Owner, as its authorized official.

NPPES Registry Identity

NPI1114996840
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRACE OPTICAL
Location Address3409 JEROME AVEBronx, NY 10467-1049
Mailing Address3409 Jerome AveBronx, NY 10467-1049 · (718) 231-9000
Phone(718) 231-9000
Organization SubpartNo
Authorized OfficialJiyoung YoonOwner · (718) 231-9000
Enumeration DateMarch 15, 2006
Last NPPES UpdateJune 6, 2008
✔ NPI 1114996840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 006830
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.
3409 JEROME AVE, Bronx, NY 10467
Open in Google Maps ↗

Other Identifiers 5

Medicare PINC87441NY
Medicare PINWCW621NY
Medicare PINC19761NY
Medicare NSC0237420001NY
Medicaid00327000NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Optical 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 Grace Optical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jiyoung Yoon, O.D
Optometry
NPI 1568482289
3409 JEROME AVE
Bronx, NY 10467
(718) 231-9000
✔ PECOSSame address

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 Grace Optical's NPI number?

The NPI number for Grace Optical is 1114996840. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Grace Optical located?

Grace Optical is located at 3409 Jerome Ave, Bronx, NY 10467. The listed phone number is (718) 231-9000.

What is Grace Optical's specialty?

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

Is Grace Optical enrolled in Medicare?

Yes. Grace Optical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Optical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Grace Optical. 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.

When was this NPI record last updated?

The NPPES record for Grace Optical was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.