Mount Vernon Optometry Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005690 Issued in NY

Legal business name

MOUNT VERNON OPTOMETRY ASSOCIATES, PC

Practice address

105 Stevens Ave
Suite 203
Mount Vernon, NY 10550-2686

Phone

(914) 668-7442

Fax

(914) 668-4669

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Garren Craner, O.D.NPI 1215063128

Title

President

Phone

(914) 668-7442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garren Craner, O.D.

  • Optometrist
  • Mount Vernon, NY
  • NPI 1215063128
  NPD Authorized official
• Carolyn Mohedano-Craner, O.D.

  • Optometrist
  • Mount Vernon, NY
  • NPI 1144396128
  Medicare reassignment

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407986052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-668-7442",
            "fax_number": "914-668-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 203",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-668-7442",
            "fax_number": "914-668-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON OPTOMETRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANER",
        "authorized_official_first_name": "GARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-668-7442",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Vernon Neighborhood Health Center Inc
• Mount Vernon Neighborhood Health Center Inc
• Mount Vernon Neighborhood Health Center, Inc.
• Mount Vernon Neighborhood Health Center, Inc.
• Mount Vernon Open Door
• Mount Vernon Public School System
• Mount Vernon Social Adult Day Care Center LLC
• Mount Vernon Vision Center Corporation
• Cecilia Moy, MS
• MP Family Health NP PLLC

• Optometrist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.