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BURNSIDE OPTICAL INC.
NPI 1568530079
Technician/Technologist - Optician in Bronx, NY

Active since December 01, 2006
54 W BURNSIDE AVE, BRONX, NY 10453(718) 299-5454(718) 299-0770 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Burnside Optical Inc. NPPES

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

BURNSIDE OPTICAL INC. (NPI 1568530079) is a healthcare organization registered as an optician in Bronx, New York and active in the NPI registry since December 2006. The organization lists Guillermo Ysmael Reyes, President, as its authorized official.

NPPES Registry Identity

NPI1568530079
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameBURNSIDE OPTICAL INC.
Location Address54 W BURNSIDE AVEBronx, NY 10453-4018
Mailing Address54 W Burnside AveBronx, NY 10453-4018 · (718) 299-5454 · Fax (718) 299-0770
Phone(718) 299-5454
Fax(718) 299-0770
Organization SubpartNo
Authorized OfficialGuillermo Ysmael ReyesPresident · (718) 299-5454
Enumeration DateDecember 1, 2006
Last NPPES UpdateMarch 5, 2012
✔ NPI 1568530079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in NY · 0073791
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
54 W BURNSIDE AVE, Bronx, NY 10453
Open in Google Maps ↗

Other Identifiers 1

Medicaid01956270NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Louisiana, Blue Cross Blue Shield of Wyoming 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)

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

Clinician (1)

Carolina Reyes, O.D.
Optometry
NPI 1154909844
54 W BURNSIDE AVE
Bronx, NY 10453
(718) 299-5454
✔ 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 Burnside Optical Inc.'s NPI number?

The NPI number for Burnside Optical Inc. is 1568530079. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Burnside Optical Inc. located?

Burnside Optical Inc. is located at 54 W Burnside Ave, Bronx, NY 10453. The listed phone number is (718) 299-5454.

What is Burnside Optical Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Burnside Optical Inc. enrolled in Medicare?

Yes. Burnside Optical Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burnside Optical Inc.?

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

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Oscar Health list Burnside Optical 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 Burnside Optical Inc. was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.