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ULTIMATE SPECTACLE
NPI 1760908057
Eyewear Supplier in Garden City, NY

Active since August 17, 2017
630 OLD COUNTRY RD UNIT 493A, GARDEN CITY, NY 11530(917) 748-1570 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 3, 2021, Aug 17, 2017 (3 updates tracked since 2017).

About Ultimate Spectacle NPPES

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

ULTIMATE SPECTACLE (NPI 1760908057) is a healthcare organization registered as an eyewear supplier in Garden City, New York and active in the NPI registry since August 2017. The organization lists Leonid Vayner, President, as its authorized official.

NPPES Registry Identity

NPI1760908057
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameROOSEVELT FIELD VISION EXPRESS, LLC
Location Address630 OLD COUNTRY RD UNIT 493AGarden City, NY 11530-3505
Mailing Address630 Old Country Rd Unit 493aGarden City, NY 11530-3505 · (917) 748-1570
Phone(917) 748-1570
Organization SubpartNo
Authorized OfficialLeonid VaynerPresident · (917) 748-1570
Enumeration DateAugust 17, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1760908057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NY · 005243
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
630 OLD COUNTRY RD UNIT 493A, Garden City, NY 11530
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Other Names 1

Doing Business AsUltimate Spectacle

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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)

Ultimate Spectacle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ultimate Spectacle, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Arthur Vayner, O.D.
Optometry
NPI 1619927472
187 AVENUE U
Brooklyn, NY 11223
(718) 373-2020
✔ PECOS21 mi
Michelle Pilipis, O.D
Optometry
NPI 1598078800
2020 86TH ST
Brooklyn, NY 11214
(347) 873-1206
✔ PECOS22 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 Roosevelt Field Vision Express, LLC's NPI number?

The NPI number for Roosevelt Field Vision Express, LLC is 1760908057. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Ultimate Spectacle.

Where is Roosevelt Field Vision Express, LLC located?

Roosevelt Field Vision Express, LLC is located at 630 Old Country Rd Unit 493A, Garden City, NY 11530. The listed phone number is (917) 748-1570.

What is Roosevelt Field Vision Express, LLC's specialty?

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

Is Roosevelt Field Vision Express, LLC enrolled in Medicare?

Yes. Roosevelt Field Vision Express, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roosevelt Field Vision Express, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Roosevelt Field Vision Express, LLC. 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 Roosevelt Field Vision Express, LLC accept?

Health plans from Oscar Health list Roosevelt Field Vision Express, LLC 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 Roosevelt Field Vision Express, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.