Walter Donach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA-004538 Issued in NJ

Practice address

6110 Bergenline Ave
West New York, NJ 07093-1568

Phone

(201) 861-1144

Fax

(201) 868-3577

NPI assigned

Jan 27, 2007

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brooke Plaza Optical, Inc.

  dba Plaza Optical

  • Optometrist
  • Oceanside, NY
  • NPI 1467620708
  Medicare reassignment NPD
• Optics Plus Opticians, Inc.

  • Optician
  • Woodbury, NY
  • NPI 1225076300

  Optometrist

  Medicare reassignment NPD
• Joseph Duran Professional Asscociation Inc.

  dba Optivision

  • Optician
  • West New York, NJ
  • NPI 1568668416
  NPD (past)
• Everything Optical for Less, Inc.

  dba Access Optical

  • Optometrist
  • Merrick, NY
  • NPI 1063681955
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1245386549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SPARROW LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117973206",
            "telephone_number": "516-528-3695",
            "fax_number": "516-224-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931568",
            "telephone_number": "201-861-1144",
            "fax_number": "201-868-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONACH",
        "first_name": "WALTER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA-004538",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-004396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Dibble, DDS
• Maria Giuseppina Dibiase, APN-C
• Marysol Diego, RPH, PHARMD
• Ileana Dominguez, PHARM D.
• Marlen Dominguez, DDS
• Ann C Donoghue, M.S.
• Nataliya Donskaya, D.D.S.
• Dr Miguel a Gonzalez DDS PA
• Dream Smile Dental PC
• Duane Reade

• Optometrist in West New York, NJ
• Providers in West New York, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.