Individual provider Active NPI

Joseph N. Lieder, O.D

  • Optometrist
  • Monsey, NY
National Provider Identifier
1114999760
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003566-1 Issued in NY
Practice address
75 College Rd
Monsey, NY 10952-2436
Phone
(845) 356-3166
Fax
(845) 356-3201
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003566-1 NY Primary

Addresses

Primary practice location

75 College Rd
Monsey, NY 10952-2436

Mailing address

75 College Rd
Monsey, NY 10952-2436
Phone (845) 356-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080707000073 NY Practitioner - Optometry 8729177225 Reassigns benefits to 1 organization
Practice locations: Astoria, NY; Rego Park, NY
O20100930072702 NY DME Supplier - Physician - Optometrist 7416073093 Practice locations: Monsey, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 College Rd
Monsey, NY 10952-2436
Phone (845) 356-3166

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003566NYMDNutritionist
TUV003566-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eyecare Optometry PC Optometrist CurrentSince Nov 4, 2004 Accepting new patients

Organizations & group practices 1

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1114999760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522436",
            "telephone_number": "845-356-3166",
            "fax_number": "845-356-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522436",
            "telephone_number": "845-356-3166",
            "fax_number": "845-356-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDER",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.