Individual provider Active NPI

Melvin Munoz Guzman, O.D.

  • Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1144490061
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005017 Issued in NY
Practice address
23 Davis Ave
Poughkeepsie, NY 12603-2455
Phone
(845) 454-1025
Fax
(845) 454-5881
NPI assigned
Mar 6, 2008
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005017 NY Primary

Addresses

Primary practice location

23 Davis Ave
Poughkeepsie, NY 12603-2455

Mailing address

23 Davis Ave
Poughkeepsie, NY 12603-2455
Phone (845) 454-1025

Other identifiers 1

IdentifierTypeStateIssuer
005017OtherNYNYS MEDICAL LICENSE

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
I20080424000626 NY Practitioner - Optometry 6002994431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Valley Vision Center Inc.Group PAC ID 9133018153, 2 clinicians

Practice addresses (Care Compare)

1636 Ulster Ave
Lake Katrine, NY 12449-5420
Phone (845) 336-6310

27 Davis Ave
Poughkeepsie, NY 12603-2416
Phone (845) 454-1025

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
98.27
Improvement activities
40
Cost
74.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005017NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC CurrentSince Oct 14, 2013 Accepting new patients
Hudson Valley Vision Center Inc. Optometrist CurrentSince Mar 24, 2018 Accepting new patients
Roy Kline Optometry PLLC Optometrist CurrentSince Oct 12, 2025 Accepting new patients
Mid- Hudson Medical Group P C Past Accepting new patients
Hudson Valley Vision Center Inc. Past Accepting new patients
Allan H Farquhar MD PC Past Accepting new patients

Locations

1202 Ulster Ave
Kingston, NY 12401
Phone (845) 336-6310

1636 Ulster Ave
Lake Katrine, NY 12449
Phone (845) 336-6310

23 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

27 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1144490061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032455",
            "telephone_number": "845-454-1025",
            "fax_number": "845-454-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032455",
            "telephone_number": "845-454-1025",
            "fax_number": "845-454-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ GUZMAN",
        "first_name": "MELVIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "005017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.