Individual provider Active NPI

Vanessa A Conenna, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1295985133
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007361-1 Issued in NY
Practice address
539 Park Ave
New York, NY 10065-8167
Phone
(212) 758-0772
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007361-1 NY Primary

Addresses

Primary practice location

539 Park Ave
New York, NY 10065-8167

Mailing address

539 Park Avenue
New York, NY 10065
Phone (212) 758-0772

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
I20101220000242 NY Practitioner - Optometry 9638367535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

539 Park Ave
New York, NY 10065-8167
Phone (212) 758-0772

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007361-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Sep 23, 2010 Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Sep 23, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1295985133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-758-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONENNA",
        "first_name": "VANESSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007361-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.