Individual provider Active NPI

Bernard Murray II

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1346647922
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009852 Issued in NY
Practice address
10933 71St Rd Ste 2C
Forest Hills, NY 11375-4800
Phone
(929) 281-2774
NPI assigned
Nov 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Ophthalmology Physician 207W00000X 3744 TN
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 009852 NY Primary

Addresses

Primary practice location

10933 71St Rd Ste 2C
Forest Hills, NY 11375-4800

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

590 Ave. of the Americas
New York, NY 10011
Phone (646) 370-0284

Other practice location 2

2311 Pierce Ave
Nashville, TN 37232-0025
Phone (615) 936-1453

Other practice location 3

3601 The Vanderbilt Clinic
Nashville, TN 37232-0025
Phone (615) 322-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmurray714225@direct.vumc.org Direct
Direct Messaging Address credentialing@fromereye.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260324000239 DE Practitioner - Optometry 1557742863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New York Medical College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sussex Eye Center PAGroup PAC ID 4284623596, 9 clinicians

Practice addresses (Care Compare)

502 W Market St
Georgetown, DE 19947-2322
Phone (302) 856-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009852NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center PastSince Mar 1, 2022 Accepting new patients
Vanderbilt University PastSince Jul 5, 2022 Accepting new patients

Organizations & group practices 3

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": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1346647922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10933 71ST RD STE 2C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754800",
            "telephone_number": "929-281-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Ave. of the Americas",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10011",
            "country_code": "US",
            "telephone_number": "646-370-0284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320025",
            "country_code": "US",
            "telephone_number": "615-936-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320025",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BERNARD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "3744",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmurray714225@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@fromereye.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10933 71st Rd Ste 2C",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.