Alice M Mann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004899 Issued in NY

Practice address

22104 Horace Harding Expy
Oakland Gardens, NY 11364-2333

Phone

(718) 225-7400

Fax

(718) 225-7606

NPI assigned

Mar 8, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optyx LLC

  • Optometrist
  • Berkeley Heights, NJ
  • NPI 1205082047

  NY

  Medicare reassignment Care Compare group NPD
• Optyx LLC

  dba Grueneyes

  • Eyewear Supplier
  • New York, NY
  • NPI 1649459363
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1376510388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 JERICHO TPKE",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110404710",
            "telephone_number": "516-746-3836",
            "fax_number": "516-746-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22104 HORACE HARDING EXPY",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642333",
            "telephone_number": "718-225-7400",
            "fax_number": "718-225-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "ALICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Lou, DPT
• Andrew Luong, LMHC
• Danielle Nicole Maffei
• Niha Abhyankar Malcomson
• Sandra Mandel, M.D.
• Dennis Mann, DC
• Tricia Ann Margarone, RN
• Glen E Marin, D.O.
• Brianna Archer McCann
• Daniel Melore, LCSWR

• Optometrist in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.