Individual provider Active NPI

Donna Richardson, O.D.

  • Optometrist
  • Jamaica, NY
National Provider Identifier
1356534226
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT0005616 Issued in NY
Practice address
17567 Hillside Ave
Jamaica, NY 11432-5724
Phone
(718) 657-0050
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT0005616 NY Primary

Addresses

Primary practice location

17567 Hillside Ave
Jamaica, NY 11432-5724

Mailing address

17567 Hillside Ave
Jamaica, NY 11432-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20181030000822 DC Practitioner - Optometry 9133361926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of DC LLCGroup PAC ID 6305063371, 15 clinicians

Practice addresses (Care Compare)

635 Pennsylvania Ave SE
Washington, DC 20003-4303
Phone (202) 546-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005615NYMDMental Health Counselor
UT0005616NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Jun 9, 2022 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Jun 9, 2022 Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients

Locations

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1356534226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17567 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325724",
            "telephone_number": "718-657-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT0005616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.