Active NPI
Andrew Robert Comly, O.D.
- Optometrist
- West Nyack, NY
National Provider Identifier
1134429012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007603-1
- Practice address
- 2781 Palisades Center Dr
West Nyack, NY 10994-6407 - Phone
- (845) 348-9331
- Fax
- (845) 348-9330
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | TUV007603-1 | NY | Primary |
Addresses
Primary practice location
2781 Palisades Center Dr
West Nyack, NY 10994-6407
Mailing address
2781 Palisades Center Dr
West Nyack, NY 10994-6407
Phone (845) 348-9331
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007603-1 | NY | MD | Optometrist |
| 007603 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | 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": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1134429012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 PALISADES CENTER DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109946407",
"telephone_number": "845-348-9331",
"fax_number": "845-348-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 PALISADES CENTER DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109946407",
"telephone_number": "845-348-9331",
"fax_number": "845-348-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMLY",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007603-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.