Individual provider Active NPI

Amy Mundanchira, OD

  • Optometrist
  • Yonkers, NY
National Provider Identifier
1003460197
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00689500 Issued in NJ
Practice address
598 Tuckahoe Rd
Yonkers, NY 10710-5713
Phone
(914) 337-7775
Fax
(718) 504-4960
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009083 NY
Optometrist 152W00000X 009083 NY
Optometrist 152W00000X 27OA00689500 NJ Primary

Addresses

Primary practice location

598 Tuckahoe Rd
Yonkers, NY 10710-5713

Mailing address

598 Tuckahoe Rd
Yonkers, NY 10710-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231008000011 NJ Practitioner - Optometry 6103253315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce Meyer, OD, LLCGroup PAC ID 7012058449, 3 clinicians

Practice addresses (Care Compare)

297 Kinderkamack Rd
Suite 200
Oradell, NJ 07649-1535
Phone (201) 265-7900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009083NYMDOptometrist
009083NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Meyer, OD, LLC CurrentSince Sep 5, 2023 Accepting new patients
Eric C. Rubinfeld OD P.C. Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Bergen Optometry Group, PA Optometrist PastSince Aug 1, 2019 Accepting new patients
White Plains Eye Care 1 Inc Optometrist PastSince Oct 1, 2022 Accepting new patients
Bergen Optometry, LLC Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

297 Kinderkamack Rd
Ste 200
Oradell, NJ 07649
Phone (201) 265-7900

297 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-7407

598 Tuckahoe Rd
Yonkers, NY 10710
Phone (914) 337-7775

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1003460197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105713",
            "telephone_number": "914-337-7775",
            "fax_number": "718-504-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDANCHIRA",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009083",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009083",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00689500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.