Individual provider Active NPI

Garren Craner, O.D.

  • Optometrist
  • Mount Vernon, NY
National Provider Identifier
1215063128
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005690 Issued in NY
Practice address
105 Stevens Ave
Suite #203
Mount Vernon, NY 10550-2686
Phone
(914) 668-7442
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005690 NY Primary
Optometrist 152W00000X 002477 CT

Addresses

Primary practice location

105 Stevens Ave
Suite #203
Mount Vernon, NY 10550-2686

Mailing address

105 Stevens Ave
Suite #203
Mount Vernon, NY 10550-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190528000593 CT Practitioner - Optometry 9931375870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Broad St
Stamford, CT 06901-2797
Phone (203) 324-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005690NYMDOptometrist
002477CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeconn Associates, LLC Optometrist CurrentSince May 15, 2019 Accepting new patients
Eyeconn Associates of Fairfield LLC Optometrist Current Accepting new patients
Mount Vernon Optometry Associates, PC Optometrist CurrentSince May 5, 1999 Accepting new patients

Locations

111 Broad St
Stamford, CT 06901
Phone (203) 324-3361

105 Stevens Ave
Ste 203
Mount Vernon, NY 10550
Phone (914) 668-7442

Organizations & group practices 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1215063128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE #203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE #203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-668-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANER",
        "first_name": "GARREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005690",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.