Individual provider Active NPI

Mark Jay Schnur, O.D.

  • Optometrist
  • Jericho, NY
National Provider Identifier
1437286358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4865 Issued in NY
Practice address
328 N Broadway
Jericho, NY 11753-2011
Phone
(516) 681-2020
Fax
(516) 681-2410
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4865 NY Primary

Addresses

Primary practice location

328 N Broadway
Jericho, NY 11753-2011

Mailing address

2763 Mae CT
Bellmore, NY 11710-5335
Phone (516) 679-2687

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090717000449 NY Practitioner - Optometry 9931251261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4865NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Jul 31, 2023 Accepting new patients
Long Island Vision and Contact Lens Services, Inc. Optometrist CurrentSince Jan 14, 2022 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jul 31, 2023 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

160 Walt Whitman Rd
Ste 1021B
Huntington Station, NY 11746
Phone (631) 351-5355

502 Smith Haven Mall
Lake Grove, NY 11755
Phone (631) 257-3036

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437286358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 MAE CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105335",
            "telephone_number": "516-679-2687",
            "fax_number": "516-681-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532011",
            "telephone_number": "516-681-2020",
            "fax_number": "516-681-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNUR",
        "first_name": "MARK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.