Active NPI
Patricia Labrunda, O.D
- Optometrist
- Port Chester, NY
National Provider Identifier
1093821076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005005-1
- Practice address
- 5 Grace Church St
Optometry
Port Chester, NY 10573-4911 - Phone
- (914) 937-8899
- Fax
- (914) 406-8228
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005005-1 | NY | Primary |
Addresses
Primary practice location
5 Grace Church St
Optometry
Port Chester, NY 10573-4911
Mailing address
884 Bellis Pkwy
Oradell, NJ 07649-1944
Phone (201) 483-6391
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Grace Church St
Port Chester, NY 10573-4911
Phone (914) 632-2737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005005-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Family Medical Center, Inc. | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | Accepting new patients |
Locations
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAJCAA
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Mount Kisco, NY
- NPI 1629237151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093821076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 BELLIS PKWY",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491944",
"telephone_number": "201-483-6391",
"fax_number": "914-406-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GRACE CHURCH ST",
"address_2": "OPTOMETRY",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105734911",
"telephone_number": "914-937-8899",
"fax_number": "914-406-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRUNDA",
"first_name": "PATRICIA",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005005-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.