BROADWAY VISION INC
NPI 1629442702
Optometrist in New York, NY
About Broadway Vision Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADWAY VISION INC (NPI 1629442702) is a healthcare organization registered as an optometrist in New York, New York and active in the NPI registry since November 2015. The organization lists Alex Gold, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broadway Vision Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Broadway Vision Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Broadway Vision Inc's NPI number?
The NPI number for Broadway Vision Inc is 1629442702. It was assigned to this organization in the NPPES registry on November 30, 2015.
Where is Broadway Vision Inc located?
Broadway Vision Inc is located at 3525 Broadway, New York, NY 10031. The listed phone number is (646) 645-6634.
What is Broadway Vision Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Broadway Vision Inc enrolled in Medicare?
Yes. Broadway Vision Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broadway Vision Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Broadway Vision 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Broadway Vision 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.
# Broadway Vision Inc · NPI 1629442702
Optometrist organization in New York, New York. Organization record, active in the CMS NPPES registry since November 30, 2015.
## Identity
- **NPI:** 1629442702 (Entity type: Organization)
- **Enumerated:** November 30, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Alex Gold, PRESIDENT
## Practice location
- **Address:** 3525 BROADWAY, New York, NY 10031-5627
- **Phone:** (646) 645-6634
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629442702) · Data from the CMS NPPES public registry.