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EYES ON BROADWAY SA INC
NPI 1396527222
Eyewear Supplier in New York, NY

Active since October 16, 2023
825 BROADWAY, NEW YORK, NY 10003(212) 475-0999 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eyes On Broadway Sa Inc NPPES

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

EYES ON BROADWAY SA INC (NPI 1396527222) is a healthcare organization registered as an eyewear supplier in New York, New York and active in the NPI registry since October 2023. The organization lists Stan Fuzaylov, Owner, as its authorized official.

NPPES Registry Identity

NPI1396527222
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameEYES ON BROADWAY SA INC
Location Address825 BROADWAYNew York, NY 10003
Mailing Address825 BroadwayNew York, NY 10003-4702 · (212) 475-0999
Phone(212) 475-0999
Organization SubpartNo
Authorized OfficialStan FuzaylovOwner · (917) 412-3750
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1396527222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
825 BROADWAY, New York, NY 10003
Open in Google Maps ↗

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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Eyes On Broadway Sa 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 Eyes On Broadway Sa Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Denise Whittam, OD
Optometry
NPI 1699742403
500 LEXINGTON AVE COHENS FASHION OPTICAL OF 47TH ST
New York, NY 10017
(212) 697-9299
✔ PECOS✔ Accepts Medicare1.7 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 Eyes On Broadway Sa Inc's NPI number?

The NPI number for Eyes On Broadway Sa Inc is 1396527222. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Eyes On Broadway Sa Inc located?

Eyes On Broadway Sa Inc is located at 825 Broadway, New York, NY 10003. The listed phone number is (212) 475-0999.

What is Eyes On Broadway Sa Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Eyes On Broadway Sa Inc enrolled in Medicare?

Yes. Eyes On Broadway Sa Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyes On Broadway Sa Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eyes On Broadway Sa 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 Eyes On Broadway Sa Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Eyes On Broadway Sa 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 Eyes On Broadway Sa Inc was last updated on October 16, 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.