Individual provider Active NPI

Hope Patricia Muller-McGovern, OD

  • Optometrist
  • Astoria, NY
National Provider Identifier
1245291814
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0057981 Issued in NY
Practice address
2238 31St St
Astoria, NY 11105-2714
Phone
(718) 278-3600
Fax
(718) 278-3865
NPI assigned
Mar 31, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0057981 NY Primary

Addresses

Primary practice location

2238 31St St
Astoria, NY 11105-2714

Mailing address

2238 31St St
Astoria, NY 11105-2714
Phone (718) 278-3600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000007 NY Practitioner - Optometry 6800898321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005798NYMDMental Health Counselor
TUV0057981NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Optics LTD Optometrist CurrentSince Jul 20, 2006 Accepting new patients

Locations

2238 31st St
Astoria, NY 11105
Phone (718) 278-3600

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1245291814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-278-3600",
            "fax_number": "718-278-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-278-3600",
            "fax_number": "718-278-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER-MCGOVERN",
        "first_name": "HOPE",
        "middle_name": "PATRICIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0057981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.