FORT GREEN VISION CORP
NPI 1912320052
Technician/Technologist - Optician in Brooklyn, NY
About Fort Green Vision Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT GREEN VISION CORP (NPI 1912320052) is a healthcare organization registered as an optician in Brooklyn, New York and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Boris Rozhansky, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Fort Green Vision Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Fort Green Vision Corp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2291772
Fort Green Vision Inc · Brooklyn, NYFrequently 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 Fort Green Vision Corp's NPI number?
The NPI number for Fort Green Vision Corp is 1912320052. It was assigned to this organization in the NPPES registry on January 25, 2014.
Where is Fort Green Vision Corp located?
Fort Green Vision Corp is located at 446B Myrtle Ave, Brooklyn, NY 11205. The listed phone number is (718) 246-2020.
What is Fort Green Vision Corp's specialty?
The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.
Is Fort Green Vision Corp enrolled in Medicare?
Yes. Fort Green Vision Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Green Vision Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Fort Green 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fort Green Vision Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2291772) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fort Green 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 2 other insurers list Fort Green 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 Fort Green Vision Corp was last updated on October 5, 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.
# Fort Green Vision Corp · NPI 1912320052
Optician organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since January 25, 2014.
## Identity
- **NPI:** 1912320052 (Entity type: Organization)
- **Enumerated:** January 25, 2014
- **Primary specialty:** Technician/Technologist - Optician · taxonomy 156FX1800X
- **Organization subpart:** No
- **Authorized official:** Boris Rozhansky, MANAGER
## Practice location
- **Address:** 446B MYRTLE AVE, Brooklyn, NY 11205-2414
- **Phone:** (718) 246-2020 · **Fax:** (347) 987-4335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912320052) · Data from the CMS NPPES public registry.