Marylynn Athis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008687-1 Issued in NY

Practice address

2781 Palisades Center Dr
West Nyack, NY 10994-6407

Phone

(845) 358-7186

NPI assigned

Nov 22, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1215441522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SNEDEN PL W",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946407",
            "telephone_number": "845-358-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHIS",
        "first_name": "MARYLYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008687-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Amendano, FNP-BC
• Humna Aminullah, PA-C
• Sharon Anne Andiloro, M.S.,C.C.C.
• Brandon James Angeles
• Anjali P. Gupte Certified Dietitian/Certified Nutritonist LLC
• B & D Dental Association
• Bajwa
• Paul Bambara, D.C.
• Joanne Barr, FNP
• Michelle Barry, RDN

• Optometrist in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.