Individual provider Active NPI

Thomas J Landry, OD

  • Optometrist
  • Corning, NY
National Provider Identifier
1356335202
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004849 Issued in NY
Practice address
232 Denison Pkwy E
Corning, NY 14830-2813
Phone
(607) 937-5800
Fax
(607) 398-3341
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004849 NY Primary

Addresses

Primary practice location

232 Denison Pkwy E
Corning, NY 14830-2813

Mailing address

207 Madison Ave
Elmira, NY 14901-3204
Phone (607) 734-2984

Other identifiers 1

IdentifierTypeStateIssuer
180021882OtherRR MEDICARE

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
I20110216000678 NY Practitioner - Optometry 8729269238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

200 E Steuben St
Bath, NY 14810-1624
Phone (607) 776-3851

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004849NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

200 E Steuben St
Bath, NY 14810
Phone (607) 776-3851

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

232 Denison Pkwy E
Corning, NY 14830
Phone (607) 937-5800

207 Madison Ave
Elmira, NY 14901
Phone (607) 734-2984

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: tlandry182380@direct-guthrie.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1356335202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MADISON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013204",
            "telephone_number": "607-734-2984",
            "fax_number": "607-398-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 DENISON PKWY E",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5800",
            "fax_number": "607-398-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180021882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.