Anthony Mondo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0057971 Issued in NY

Practice address

4160 Route 31
Clay, NY 13041-8719

Phone

(315) 546-0393

Fax

(315) 546-0393

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment Care Compare group NPD
• Safi Optometrist PC

  • Optometrist
  • Clay, NY
  • NPI 1497968135
  Medicare reassignment NPD Authorized official
• Safi Optometrist PC

  • Optometrist
  • Cicero, NY
  • NPI 1689068827
  NPD Authorized official
• Anthony Mondo Optometrist, PC

  • Optometrist
  • Auburn, NY
  • NPI 1407040702
  NPD (past) Authorized official
• Safi Optometrist PC

  • Optometrist
  • Syracuse, NY
  • NPI 1114218393
  NPD (past) Authorized official

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1225005986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 ROUTE 31",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418719",
            "telephone_number": "315-546-0393",
            "fax_number": "315-546-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 ROUTE 31",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418719",
            "telephone_number": "315-546-0393",
            "fax_number": "315-546-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0057971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Knight, LPN
• Tracie Leinbach
• Matthew Leo, REGISTERED NURSE
• Chelsea Lynch, L.P.N.
• Trina Veronica Mathias, LPN
• Suzaura Muller, LPN
• Jason A Myers, MSPT
• Laura Nickolai, COMS; CVRT
• Danielle M O'Brien
• Olga Bartley

• Optometrist in Clay, NY
• Providers in Clay, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• 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.

Verify at the official NPI Registry.