DR. DMITRI BONDARENKO O.D.
NPI 1730319724
Optometrist in Forest Hills, NY

Q: What is Dmitri Bondarenko's NPI number?

The NPI number for Dmitri Bondarenko is 1730319724. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Q: What is Dmitri Bondarenko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dmitri Bondarenko was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 23, 2009PECOS Enrolled

10025 QUEENS BLVD, FOREST HILLS, NY 11375(718) 997-1400 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Dmitri Bondarenko O.d. NPPES

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

DR. DMITRI BONDARENKO O.D. (NPI 1730319724) is an individual optometrist in Forest Hills, New York, licensed in New York (007091) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1730319724

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DMITRI BONDARENKOCredential: O.D.

Location Address10025 QUEENS BLVDForest Hills, NY 11375-2454

Mailing Address10025 Queens BlvdForest Hills, NY 11375-2454 · (718) 997-1400

Phone(718) 997-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 23, 2009

Last NPPES UpdateMarch 15, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1730319724 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 · 007091

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.

10025 QUEENS BLVD, Forest Hills, NY 11375

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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 and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dmitri Bondarenko O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133373210

PECOS Enrollment IDI20141212001647

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Dmitri Bondarenko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Green Acres Vistasite Inc

8.4 mi

Optometrist

1088 GREEN ACRES MALL # 118
Valley Stream, NY 11581

Reassigned Medicare billing, New York enrollment
4 clinicians in this Medicare group

NPI 1831442995 (516) 568-2010

Brooklyn Vista Site Eyecare Inc.

8.9 mi

Optometrist

5144 KINGS PLZ # 128
Brooklyn, NY 11234

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1891065512 (917) 699-5876

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

23 services13 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

17 services17 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services15 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. MORIS RABANIPOUR M.D.

Student in an Organized Health Care Education/Training Program

10025 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (347) 564-6013

KUEITING ALICE MA RD

Dietitian, Registered

10025 QUEENS BLVD, 7HH
FOREST HILLS, NY 11375

Queens County (917) 710-7781

BO TAO GU

Acupuncturist

10025 QUEENS BLVD, SUITE 1-P
FOREST HILLS, NY 11375

Queens County (718) 896-0909

DR. MARK AVI BITTON M. D.

Ophthalmology

10025 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (718) 997-1400

MARK AVINOAM BITTON MD PC

Ophthalmology

10025 QUEENS BLVD, APT 1M-L
FOREST HILLS, NY 11375

Queens County (718) 997-1400

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 Dmitri Bondarenko's NPI number?

The NPI number for Dmitri Bondarenko is 1730319724. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Dmitri Bondarenko located?

Dmitri Bondarenko practices at 10025 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 997-1400.

What is Dmitri Bondarenko's specialty?

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

Is Dmitri Bondarenko enrolled in Medicare?

Yes. Dmitri Bondarenko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dmitri Bondarenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dmitri Bondarenko reassigns Medicare benefits to 2 organizations: Green Acres Vistasite Inc (Valley Stream, NY) and Brooklyn Vista Site Eyecare Inc. (Brooklyn, NY). Each 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 Dmitri Bondarenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dmitri Bondarenko accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Dmitri Bondarenko 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 Dmitri Bondarenko was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.