Andrew Leigh Elm, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009634 Issued in NY

Practice address

173 7TH Ave
New York, NY 10011-1804

Phone

(212) 627-4488

NPI assigned

Aug 5, 2022

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

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

Pacific University - College of Optometry, 2022

Medicare assignment

May accept Medicare assignment

Group practices

The Gelman'S Optical, IncGroup PAC ID 5395837488, 3 clinicians

LMJ Vision, Inc.Group PAC ID 7315268240, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• LMJ Vision, Inc.

  • Optometrist
  • New York, NY
  • NPI 1740509736
  Medicare reassignment Care Compare group
• The Gelman'S Optical, Inc

  • Optometrist
  • New York, NY
  • NPI 1336158500
  Medicare reassignment Care Compare group
• JL Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1861849671
  Medicare reassignment

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1235866500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 RAINBOW AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151721",
            "telephone_number": "920-246-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111804",
            "telephone_number": "212-627-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELM",
        "first_name": "ANDREW",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Fe Miraflor Ello
• Naomi Ello, N.P.
• Sharif Ellozy, MD
• Grant Ellsworth, MD
• Helen Ellsworth
• Abdelaziz Elmadani
• Arielle Anna Elmaleh-Sachs, MD
• Grace Elmaleh, M.A-NC PSYT
• Rebecca Elmaleh, M.D.
• Tifany Shirel Elmalem

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.