Individual provider Active NPI

Susan A Resnick, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1356470900
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004323 Issued in NY
Practice address
30 East 60TH Street
Suite 201
New York, NY 10022
Phone
(212) 355-5145
Fax
(212) 308-3262
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 VUT004323 NY Primary

Addresses

Primary practice location

30 East 60TH Street
Suite 201
New York, NY 10022

Mailing address

30 East 60TH Street
Suite 201
New York, NY 10022
Phone (212) 355-5145

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
I20080617000246 NY Practitioner - Optometry 8325119472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1983
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

30 E 60TH St
RM 201
New York, NY 10022-7109
Phone (212) 355-5145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004323NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Farkas, Kassalow, Resnick & Associates, PC Optometrist CurrentSince Aug 8, 2003 Accepting new patients
DRS. Farkas, Kassalow, Resnick & Associates Optometrist Past Accepting new patients

Locations

30 E 60th St
Rm 201
New York, NY 10022
Phone (212) 355-5145

1025 Northern Blvd
Ste 214
Roslyn, NY 11576
Phone (516) 365-4500

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1356470900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-355-5145",
            "fax_number": "212-308-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-355-5145",
            "fax_number": "212-308-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.