Organization Active NPI

Mount Vernon Vision Center Corporation

  • Optometrist
  • Mount Vernon, NY
National Provider Identifier
1265385975
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUNT VERNON VISION CENTER CORPORATION
Practice address
418 E Sandford Blvd
Mount Vernon, NY 10550-4725
Phone
(914) 297-2020
Fax
(914) 297-2433
NPI assigned
Feb 20, 2026
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Annette Fajardo
Title
Owner
Phone
(917) 417-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

418 E Sandford Blvd
Mount Vernon, NY 10550-4725

Mailing address

418 E Sandford Blvd
Mount Vernon, NY 10550-4725
Phone (914) 297-2020

National Provider Directory

National Provider Directory

Locations

418 E Sandford Blvd
Mount Vernon, NY 10550
Phone (914) 297-2020

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1265385975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-297-2020",
            "fax_number": "914-297-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-297-2020",
            "fax_number": "914-297-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON VISION CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-417-3707"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.