Individual provider Active NPI

Tamara Stockwin, OD

  • Optometrist
  • Ithaca, NY
National Provider Identifier
1043326424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0059541 Issued in NY
Practice address
10 Brentwood Dr
Suite a
Ithaca, NY 14850-1865
Phone
(607) 257-5599
Fax
(607) 257-3972
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0059541 NY Primary

Addresses

Primary practice location

10 Brentwood Dr
Suite a
Ithaca, NY 14850-1865

Mailing address

10 Brentwood Dr
Suite a
Ithaca, NY 14850-1865
Phone (607) 257-5599

Other identifiers 1

IdentifierTypeStateIssuer
02566012MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040806000034 NY Practitioner - Optometry 1850363342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Robert J. Arleo, MD,PCGroup PAC ID 9638191281, 4 clinicians

Practice addresses (Care Compare)

100 Uptown Rd
Ithaca, NY 14850-1632
Phone (607) 257-5599

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005954NYMDProfessional Counselor
TUV0059541NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Associates, PC CurrentSince Jan 1, 2026 Accepting new patients
Robert J. Arleo, MD,PC CurrentSince Dec 23, 2005 Accepting new patients
The Optical Barr Inc. Optometrist Past Accepting new patients
Auburn Eye Care Center Optometrist Past Accepting new patients

Locations

10 Brentwood Dr
Ste A
Ithaca, NY 14850
Phone (607) 257-5599

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

100 Uptown Rd
Ithaca, NY 14850
Phone (607) 257-5599

Interoperability endpoints

  • Direct secure messaging: tstockwin@arleoeye.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043326424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRENTWOOD DR",
            "address_2": "SUITE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501865",
            "telephone_number": "607-257-5599",
            "fax_number": "607-257-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRENTWOOD DR",
            "address_2": "SUITE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501865",
            "telephone_number": "607-257-5599",
            "fax_number": "607-257-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWIN",
        "first_name": "TAMARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0059541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02566012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.