Individual provider Active NPI

Mindy Susan Gradowitz, O.D.

  • Optometrist
  • White Plains, NY
National Provider Identifier
1104133636
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT4599 Issued in NY
Practice address
72 E Post Rd
White Plains, NY 10601-4621
Phone
(914) 949-8100
Fax
(914) 949-8196
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT4599 NY Primary

Addresses

Primary practice location

72 E Post Rd
White Plains, NY 10601-4621

Mailing address

72 E Post Rd
White Plains, NY 10601-4621
Phone (914) 949-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VUT4599NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New County Optical Optometrist Past Accepting new patients
Scoda Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1104133636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014621",
            "telephone_number": "914-949-8100",
            "fax_number": "914-949-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014621",
            "telephone_number": "914-949-8100",
            "fax_number": "914-949-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADOWITZ",
        "first_name": "MINDY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.