Individual provider Active NPI

Andrea Del Corro, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1093156945
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007976 Issued in NY
Practice address
1010 2ND Ave
New York, NY 10022-4966
Phone
(212) 753-7733
Fax
(212) 753-2677
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007976 NY Primary

Addresses

Primary practice location

1010 2ND Ave
New York, NY 10022-4966

Mailing address

1010 2ND Ave
New York, NY 10022-4966
Phone (212) 753-7733

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
I20161213001660 NY Order and Referring Only - OptometryPractitioner - Optometry 7315227162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007976NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1093156945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224966",
            "telephone_number": "212-753-7733",
            "fax_number": "212-753-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224966",
            "telephone_number": "212-753-7733",
            "fax_number": "212-753-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CORRO",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.