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BAY STREET OPTICAL PAVILION
NPI 1154594190
Optometrist in Staten Island, NY

Active since April 10, 2008
664 BAY ST, OPTICAL, STATEN ISLAND, NY 10304(718) 727-5678 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Street Optical Pavilion NPPES

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

BAY STREET OPTICAL PAVILION (NPI 1154594190) is a healthcare organization registered as an optometrist in Staten Island, New York and active in the NPI registry since April 2008. The organization lists Carolyn Rosemary Powell Rivers, Principle, as its authorized official.

NPPES Registry Identity

NPI1154594190
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSIOC@BAY ST OPTICAL PAVILION
Location Address664 BAY ST, OPTICALStaten Island, NY 10304-3829
Mailing Address664 Bay St, OpticalStaten Island, NY 10304-3829
Phone(718) 727-5678
Organization SubpartNo
Authorized OfficialCarolyn Rosemary Powell RiversPrinciple · (718) 727-5678
Enumeration DateApril 10, 2008
✔ NPI 1154594190 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 · TUV004813-1
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.
664 BAY ST, Staten Island, NY 10304
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Other Names 1

Doing Business AsBay Street Optical Pavilion

Other Identifiers 4

Medicare UPINU32957NY
Medicare NSC4600190001NY
Medicaid01065163NY
Medicare PINC47893NY

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLYN ROSEMARY POWELL-RIVERS O.D.
Optometrist
664 BAY ST, BAY ST OPTICAL PAVILION
STATEN ISLAND, NY 10304
Richmond County (718) 727-5678

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 Sioc@bay St Optical Pavilion's NPI number?

The NPI number for Sioc@bay St Optical Pavilion is 1154594190. It was assigned to this organization in the NPPES registry on April 10, 2008. The provider is doing business as Bay Street Optical Pavilion.

Where is Sioc@bay St Optical Pavilion located?

Sioc@bay St Optical Pavilion is located at 664 Bay St Optical, Staten Island, NY 10304. The listed phone number is (718) 727-5678.

What is Sioc@bay St Optical Pavilion's specialty?

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

When was this NPI record last updated?

The NPPES record for Sioc@bay St Optical Pavilion was last updated on April 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.