Mount Vernon Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNT VERNON EYE CARE

Practice address

108 Gramatan Ave
Mount Vernon, NY 10550-1306

Phone

(914) 663-8010

Fax

(914) 663-8010

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Philip Venticinque

Title

President

Phone

(914) 384-0923

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1033715552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501306",
            "telephone_number": "914-663-8010",
            "fax_number": "914-663-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501306",
            "telephone_number": "914-663-8010",
            "fax_number": "914-663-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "VENTICINQUE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-384-0923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Morse
• Adele Moulton, LPN
• Mount Vernon Adult Center LLC
• Mount Vernon City School District
• Mount Vernon Dialysis LLC
• Mount Vernon Hospital
• Mount Vernon Hospital
• Mount Vernon Hospital Department of Medicine
• Mount Vernon Hospital Radiology Associates, P.C.
• Mount Vernon Medical Practice

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.