GLEN OAKS FAMILY VISION CORP
NPI 1780713602
Optometrist in Glen Oaks, NY

Active since March 05, 2007
25913 UNION TPKE, GLEN OAKS, NY 11004(718) 347-7470 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2023, May 12, 2016 (2 updates tracked since 2016).

About Glen Oaks Family Vision Corp NPPES

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

GLEN OAKS FAMILY VISION CORP (NPI 1780713602) is a healthcare organization registered as an optometrist in Glen Oaks, New York and active in the NPI registry since March 2007. The organization lists Vladimir Poley, Officer, as its authorized official.

NPPES Registry Identity

NPI1780713602
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGLEN OAKS FAMILY VISION CORP
Location Address25913 UNION TPKEGlen Oaks, NY 11004-1248
Mailing Address25913 Union TpkeGlen Oaks, NY 11004-1248 · (718) 347-7470 · Fax (718) 347-7493
Organization SubpartNo
Authorized OfficialVladimir PoleyOfficer · (718) 347-7470
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1780713602 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 · 006252
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.
25913 UNION TPKE, Glen Oaks, NY 11004

Other Identifiers 1

Medicaid02282960NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

Glen Oaks Family Vision Corp 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 Glen Oaks Family Vision Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1730222704
25913 UNION TPKE GLEN OAKS FAMILY VISION
Glen Oaks, NY 11004
(718) 347-7470
✔ PECOSSame address
Optometry
NPI 1285644088
25923 UNION TPKE
Glen Oaks, NY 11004
(718) 347-7470
✔ PECOS✔ Accepts MedicareSame 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 Glen Oaks Family Vision Corp's NPI number?

The NPI number for Glen Oaks Family Vision Corp is 1780713602. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Glen Oaks Family Vision Corp located?

Glen Oaks Family Vision Corp is located at 25913 Union Tpke, Glen Oaks, NY 11004. The listed phone number is (718) 347-7470.

What is Glen Oaks Family Vision Corp's specialty?

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

Is Glen Oaks Family Vision Corp enrolled in Medicare?

Yes. Glen Oaks Family Vision Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glen Oaks Family Vision Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Glen Oaks Family Vision Corp. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Glen Oaks Family Vision Corp 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 1 other insurer list Glen Oaks Family Vision Corp 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 Glen Oaks Family Vision Corp was last updated on October 6, 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.