Individual provider Active NPI

Joanne M Clark-Schrynemakers, O.D.

  • Optometrist
  • Manhasset, NY
National Provider Identifier
1215917703
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4601294 Issued in NY
Practice address
2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502
Phone
(516) 627-5113
Fax
(516) 365-2817
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1097 NH
Optometrist 152W00000X TPOP91 FL
Optometrist 152W00000X OPT3933 MA
Optometrist 152W00000X 4601294 NY Primary

Addresses

Primary practice location

2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502

Mailing address

2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502
Phone (516) 627-5113

Other names 1

  • Joanne Marie Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050502000645 NY Practitioner - Optometry 6709825433 Reassigns benefits to 2 organizations
I20220601002064 FL Practitioner - Optometry 6709825433
I20240111002366 MA Practitioner - Optometry 6709825433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1097NHMDMental Health Counselor
4601294NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince Mar 25, 2025 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Feb 2, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Mar 25, 2025 Accepting new patients
Long Island Eye Surgeons, PC PastSince Mar 1, 2009 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

9 Triangle Ln
Ste 204
Manchester, NH 03103
Phone (603) 644-6100

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1215917703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 208",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-627-5113",
            "fax_number": "516-365-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 208",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-627-5113",
            "fax_number": "516-365-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-SCHRYNEMAKERS",
        "first_name": "JOANNE",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1097",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP91",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT3933",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4601294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "CLARK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.