Ossining Family Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007907 Issued in NY

Legal business name

OSSINING FAMILY OPTOMETRY PLLC

Practice address

57 Croton Ave # 3
Ossining, NY 10562-4981

Phone

(914) 923-0300

Fax

(914) 923-0450

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brian M Rodrigues, ODNPI 1407103344

Title

Optometrist

Phone

(914) 923-0300

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Brian M Rodrigues, O.D.

  • Optometrist
  • Ossining, NY
  • NPI 1407103344
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1124541370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CROTON AVE # 3",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624981",
            "telephone_number": "914-923-0300",
            "fax_number": "914-923-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CROTON AVE # 3",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624981",
            "telephone_number": "914-923-0300",
            "fax_number": "914-923-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSINING FAMILY OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "914-923-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007907",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV007907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06754407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ossining Union Free School District
• Ossining Volunteer Ambulance Corps Inc

• Optometrist in Ossining, NY
• Providers in Ossining, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.