Ken Philip Landesman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

00414P Issued in NY

Practice address

103 S Bedford Rd
Suite 101
Mount Kisco, NY 10549-3440

Phone

(914) 241-2020

Fax

(914) 241-0034

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

New England College of Optometry, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Eyecare Associates PCGroup PAC ID 2769538594, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecare Associates, P.C.

  • Optometrist
  • Trumbull, CT
  • NPI 1073846267

  NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1013950310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD",
            "address_2": "SUITE 101",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493440",
            "telephone_number": "914-241-2020",
            "fax_number": "914-241-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD",
            "address_2": "SUITE 101",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493440",
            "telephone_number": "914-241-2020",
            "fax_number": "914-241-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESMAN",
        "first_name": "KEN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "00414P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Balet Kuniholm, LCSW
• Anthony Robert Kwalwasser, OTR/L
• Kristen Marie Pallon Laiz, DO
• Mary Lisa Lampe, P.T.
• Nicole Lanatra, M.D.
• Olivia Lange, LMT
• Bernhard H Lanwehr, M.D.
• Tee Lapid, PSY.D.
• Bryan Larin
• Larrie Rockmacher DPM LLC

• Optometrist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.