Optometry Eyecare on the Avenue PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRY EYECARE ON THE AVENUE PLLC

Practice address

243 Mamaroneck Ave
Mamaroneck, NY 10543-2602

Phone

(914) 348-4280

NPI assigned

Jan 16, 2023

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peace Chinonyerem Anyadike, O.DNPI 1033572979

Title

Owner

Phone

(914) 348-4280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peace Chinonyerem Anyadike

  • Optometrist
  • Mamaroneck, NY
  • NPI 1033572979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1013622950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 IRVING PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011511",
            "telephone_number": "914-348-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432602",
            "telephone_number": "914-348-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY EYECARE ON THE AVENUE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "ANYADIKE",
        "authorized_official_first_name": "PEACE",
        "authorized_official_middle_name": "CHINONYEREM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-348-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosario Ortega, TEACHER
• Venus D. Osorio, MSW
• Joy Overzat, R.N.
• Alfonzo Benjamin Owens III, D.M.D.
• Ashanti Palma

• Optometrist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.