Organization Active NPI

Mirmarc

Doing business as N.Y. Eye Care and Hearing AIDS

  • Optometrist
  • Yonkers, NY
National Provider Identifier
1437120912
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004416 Issued in NY
Legal business name
MIRMARC
Doing business as
N.Y. Eye Care and Hearing AIDS
Practice address
770 McLean Ave
Yonkers, NY 10704-3843
Phone
(914) 803-0500
Fax
(914) 803-0600
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Marc Wayne Greenberg, O.D.NPI 1144291246
Title
President
Phone
(914) 803-0500

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT004416 NY Primary

Addresses

Primary practice location

770 McLean Ave
Yonkers, NY 10704-3843

Mailing address

770 McLean Ave
Yonkers, NY 10704-3843
Phone (914) 803-0500

Other identifiers 1

IdentifierTypeStateIssuer
01359219MedicaidNY

Other names 1

  • N.Y. EYE CARE AND HEARING AIDS Doing business as

National Provider Directory

National Provider Directory

Locations

770 McLean Ave
Yonkers, NY 10704
Phone (914) 803-0500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1437120912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043843",
            "telephone_number": "914-803-0500",
            "fax_number": "914-803-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043843",
            "telephone_number": "914-803-0500",
            "fax_number": "914-803-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRMARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-803-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N.Y. EYE CARE AND HEARING AIDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.