Active NPI
Anthony Mondo Optometrist, PC
- Optometrist
- Auburn, NY
National Provider Identifier
1407040702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005797
- Legal business name
- ANTHONY MONDO OPTOMETRIST, PC
- Practice address
- 232 Genesee St
Auburn, NY 13021-3223 - Phone
- (315) 252-9571
- Fax
- (315) 252-5622
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Mondo, OD
- Title
- President
- Phone
- (315) 252-9571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005797 | NY | Primary |
Addresses
Primary practice location
232 Genesee St
Auburn, NY 13021-3223
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
National Provider Directory
National Provider DirectoryLocations
213 North St
Auburn, NY 13021
Phone (315) 252-9571
232 Genesee St
Auburn, NY 13021
Phone (315) 252-5622
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Clay, NY
- NPI 1225005986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1407040702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-472-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 GENESEE ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213223",
"telephone_number": "315-252-9571",
"fax_number": "315-252-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY MONDO OPTOMETRIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "MONDO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-252-9571",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.