Organization Active NPI

Monroe Family Eyecare Associates, LLP

  • Optometrist
  • Monroe, NY
National Provider Identifier
1013088822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005741 Issued in NY
Legal business name
MONROE FAMILY EYECARE ASSOCIATES, LLP
Practice address
91 Lakes Rd
Monroe, NY 10950-2613
Phone
(845) 783-1224
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brad Gollinger, ODNPI 1699779678
Title
Owner
Phone
(845) 783-1224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 005741 NY Primary

Addresses

Primary practice location

91 Lakes Rd
Monroe, NY 10950-2613

Mailing address

91 Lakes Rd
Monroe, NY 10950-2613

Other names 1

  • Monroe Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050115000109 NY Part B Supplier - Clinic/Group Practice 5496704520 Receives reassigned benefits from 4 practitioners
Practice locations: Monroe, NY
O20100930006453 NY DME Supplier - Physician - Optometrist 5496704520 Practice locations: Monroe, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2088864Monroe Family Eyecare Associates, LLP91 Lakes Road, Monroe, NY 10950Certificate of waiverDec 16, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Monroe Family Eyecare Assoc, LLP91 Lakes Rd, Monroe, NY 10950-2694(845) 783-1224 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

91 Lakes Rd
Ste 1
Monroe, NY 10950
Phone (845) 783-1224

91 Lakes Rd
Monroe, NY 10950
Phone (845) 782-8608

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013088822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LAKES RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LAKES RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502613",
            "telephone_number": "845-783-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FAMILY EYECARE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-783-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.