New York Eye Institute Optical

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

215965-1 Issued in NY

Legal business name

NEW YORK EYE INSTITUTE OPTICAL

Practice address

99 Dutch Hill Plaza
Orangeburg, NY 10962-2185

Phone

(845) 359-7272

Fax

(845) 279-7388

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Mock

Title

Manager

Phone

(845) 359-7272

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Ayman Z Matta MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ayman Z. Matta, M.D., P.C.

  • Ophthalmology Physician
  • Orangeburg, NY
  • NPI 1326267568
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19757/brand/2/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayman Matta, MD

  • Ophthalmology Physician
  • Orangeburg, NY
  • NPI 1841288388
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1114478526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL PLAZA",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622185",
            "telephone_number": "845-359-7272",
            "fax_number": "845-359-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL PLAZA",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622185",
            "telephone_number": "845-359-7272",
            "fax_number": "845-279-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK EYE INSTITUTE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-359-7272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215965-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "52655",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY5965",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "NY63373",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Priya Munnangi, M.D.
• Dhivya Muralidharan
• Mara Murray
• National Alliance on Mental Illness of Rockland County Inc.
• Divya Dileep Nediyara
• New York Institute of Same Day Surgery
• Philip Newfield, M.D.
• Yeuk Kui NG, RPH
• Jay Nierenberg, M.D., PHD
• Daisy Nixon

• Ophthalmology Physician in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.