Organization Active NPI

Squint Optometry PLLC

  • Optometrist
  • Irvington, NY
National Provider Identifier
1174750905
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-005464 Issued in NY
Legal business name
SQUINT OPTOMETRY PLLC
Practice address
68 Main Street
Irvington, NY 10533-1511
Phone
(914) 231-7557
NPI assigned
Jun 19, 2009
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Debra M Bernstein, O.D.NPI 1164516282
Title
Owner/Optometrist
Phone
(914) 231-7557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

68 Main Street
Irvington, NY 10533-1511

Mailing address

68 Main Street
Irvington, NY 10533-1511
Phone (914) 231-7557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000131 NY Part B Supplier - Clinic/Group Practice 6002968039 Receives reassigned benefits from 1 practitioner
Practice locations: Irvington, NY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1174750905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MAIN STREET",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331511",
            "telephone_number": "914-231-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAIN STREET",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331511",
            "telephone_number": "914-231-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUINT OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "914-231-7557",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-005464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.