Individual provider Active NPI

Augustus Guarente, O.D.

  • Optometrist
  • Kingston, NY
National Provider Identifier
1144312885
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV3749 Issued in NY
Practice address
240 Lucas Ave
Kingston, NY 12401-4316
Phone
(845) 339-4990
Fax
(845) 339-5001
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 TUV3749 NY Primary

Addresses

Primary practice location

240 Lucas Ave
Kingston, NY 12401-4316

Mailing address

240 Lucas Ave
Kingston, NY 12401-4316
Phone (845) 339-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001045 NY Practitioner - Optometry 3577721729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 Lucas Ave
Kingston, NY 12401-4316
Phone (845) 339-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003749NYMDBehavioral Analyst
TUV3749NYMDOptometrist
3749NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Chasin & Guarente, Optometrists, P.C. Optometrist CurrentSince Aug 3, 1979 Accepting new patients

Locations

240 Lucas Ave
Kingston, NY 12401
Phone (845) 339-4990

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1144312885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LUCAS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014316",
            "telephone_number": "845-339-4990",
            "fax_number": "845-339-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LUCAS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014316",
            "telephone_number": "845-339-4990",
            "fax_number": "845-339-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARENTE",
        "first_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.