Individual provider Active NPI

Debra M Bernstein, O.D.

  • Optometrist
  • Irvington, NY
National Provider Identifier
1164516282
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-005464-1 Issued in NY
Practice address
68 Main St
Irvington, NY 10533-1514
Phone
(914) 231-7557
Fax
(914) 231-7558
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-005464-1 NY Primary

Addresses

Primary practice location

68 Main St
Irvington, NY 10533-1514

Mailing address

68 Main St
Irvington, NY 10533-1514
Phone (914) 231-7557

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
I20090722000114 NY Practitioner - Optometry 6204988223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 N Eckar St
Irvington, NY 10533-1511

68 Main St
Irvington, NY 10533-1514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV-005464-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Squint Optometry PLLC Optometrist CurrentSince Jul 15, 2009 Accepting new patients

Locations

68 Main St
Irvington, NY 10533
Phone (914) 231-7557

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1164516282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331514",
            "telephone_number": "914-231-7557",
            "fax_number": "914-231-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331514",
            "telephone_number": "914-231-7557",
            "fax_number": "914-231-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-005464-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

Verify at the official NPI Registry.