Active NPI
Paul R Bernstein, O.D.
- Optometrist
- White Plains, NY
National Provider Identifier
1215997937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004755-1
- Practice address
- 1133 Westchester Avenue
Building a, Suite N-008
White Plains, NY 10604 - Phone
- (914) 948-0304
- Fax
- (914) 948-0365
- NPI assigned
- Mar 25, 2006
- Last updated
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004755-1 | NY | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | TUV004755-1 | NY | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | TUV004755-1 | NY | |
| Pediatric Optometrist | 152WP0200X | TUV004755-1 | NY | |
| Sports Vision Optometrist | 152WS0006X | TUV004755-1 | NY | |
| Occupational Vision Optometrist | 152WX0102X | TUV004755-1 | NY |
Addresses
Primary practice location
1133 Westchester Avenue
Building a, Suite N-008
White Plains, NY 10604
Mailing address
1133 Westchester Avenue
Building a, Suite N-008
White Plains, NY 10604
Phone (914) 948-0304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215997937 | Other | NY | NPI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110505000283 | NY | Practitioner - Optometry | 2567647639 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Westchester Ave
Suite N 008
White Plains, NY 10604-3550
Phone (914) 948-0304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004755-1 | NY | MD | Occupational Vision Optometrist |
| 004755 | NY | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- White Plains, NY
- NPI 1275592594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1215997937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVENUE",
"address_2": "BUILDING A, SUITE N-008",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10604",
"telephone_number": "914-948-0304",
"fax_number": "914-948-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVENUE",
"address_2": "BUILDING A, SUITE N-008",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10604",
"telephone_number": "914-948-0304",
"fax_number": "914-948-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004755-1",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV004755-1",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NY",
"license": "TUV004755-1",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "TUV004755-1",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "NY",
"license": "TUV004755-1",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NY",
"license": "TUV004755-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215997937",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.