BROADWAY VISION CENTER
NPI 1982704862
Optometrist in New York, NY

Q: What is Broadway Vision Center Inc.'s NPI number?

The NPI number for Broadway Vision Center Inc. is 1982704862. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Broadway Vision Center.

Q: What is Broadway Vision Center Inc.'s specialty?

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

Active since September 22, 2006

3582 BROADWAY, NEW YORK, NY 10031(212) 234-2020(212) 234-4609 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Broadway Vision Center NPPES

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

BROADWAY VISION CENTER (NPI 1982704862) is a healthcare organization registered as an optometrist in New York, New York and active in the NPI registry since September 2006. The organization lists Nicholas A. Radetzky, Od, as its authorized official.

NPPES Registry Identity

NPI1982704862

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBROADWAY VISION CENTER INC.

Location Address3582 BROADWAYNew York, NY 10031-3201

Mailing Address3582 BroadwayNew York, NY 10031-3201 · (212) 234-2020 · Fax (212) 234-4609

Phone(212) 234-2020

Fax(212) 234-4609

Organization SubpartNo

Authorized OfficialNicholas A. RadetzkyOd · (212) 234-2020

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJanuary 21, 2020

✔ NPI 1982704862 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 · 4372

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.

3582 BROADWAY, New York, NY 10031

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Other Names 1

Doing Business AsBroadway Vision Center

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 SINGLE SPECIALTY GROUP

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadway Vision Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Radetzky, O.D.

Optometry

NPI 1710967682

3582 BROADWAY
New York, NY 10031

(212) 234-2020

✔ PECOSSame 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 Broadway Vision Center Inc.'s NPI number?

The NPI number for Broadway Vision Center Inc. is 1982704862. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Broadway Vision Center.

Where is Broadway Vision Center Inc. located?

Broadway Vision Center Inc. is located at 3582 Broadway, New York, NY 10031. The listed phone number is (212) 234-2020.

What is Broadway Vision Center Inc.'s specialty?

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

Is Broadway Vision Center Inc. enrolled in Medicare?

Yes. Broadway Vision Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Vision Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Broadway Vision Center 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. 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 Center Inc. was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.