Penn Yan Optometry PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV005146-J Issued in NY

Legal business name

PENN YAN OPTOMETRY PC

Practice address

163 Main St
Penn Yan, NY 14527-1284

Phone

(315) 536-9941

Fax

(315) 536-9321

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Paul Smith, O.D.NPI 1174585996

Title

Optometrist

Phone

(315) 536-9941

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Penn Yan Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Paul Smith, O.D.

  • Optometrist
  • Penn Yan, NY
  • NPI 1174585996
  Medicare reassignment NPD Authorized official
• Carolyn K Anderson, OD

  • Optometrist
  • Penn Yan, NY
  • NPI 1598439127
  Medicare reassignment NPD
• Kevin Smith, OD

  • Optometrist
  • Penn Yan, NY
  • NPI 1013843275
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275600496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271284",
            "telephone_number": "315-536-9941",
            "fax_number": "315-536-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271284",
            "telephone_number": "315-536-9941",
            "fax_number": "315-536-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN YAN OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-536-9941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005146-J",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "TUV005146-J",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV005146-J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101985CS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "135462CT",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Yan Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norene M. Parkhurst, LPN
• Rachael Patten, LMSW
• Penn Yan Area Volunteer Ambulance Corps Inc
• Penn Yan Central School
• Penn Yan Manor Nursing Home, Inc.
• Penn Yan Physical Therapy P.C.
• Anthony J Petrucci, P.T.
• Danielle Pfeiffer, LMSW
• Ross Spencer Phippen Jr., DMD
• Maddison P Pickering, OTR/L

• Eyewear Supplier in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.