Individual provider Active NPI

Stephanie Lynn Wolman, O.D.

  • Vision Therapy Optometrist
  • Harrison, NY
National Provider Identifier
1447375795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
006082 Issued in NY
Practice address
550 Mamaroneck Ave
Suite 410
Harrison, NY 10528-1634
Phone
(914) 777-5767
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

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
Vision Therapy Optometrist 152WV0400X 006082 NY Primary

Addresses

Primary practice location

550 Mamaroneck Ave
Suite 410
Harrison, NY 10528-1634

Mailing address

188 Old Mamaroneck Rd
White Plains, NY 10605-3212
Phone (914) 261-0341

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
I20141113000334 NY Practitioner - Optometry 8628290301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winifred Masterson Burke Rehabilitation HospitalGroup PAC ID 4385551241, 12 clinicians

Practice addresses (Care Compare)

550 Mamaroneck Ave
Suite 200
Harrison, NY 10528-1616

550 Mamaroneck Ave
Suite 200
Harrison, NY 10528-1617
Phone (914) 777-5767

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Feb 26, 2016 Accepting new patients
Stephanie Wolman, OD, PC CurrentSince Jun 10, 2014 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Feb 26, 2016 Accepting new patients

Locations

550 Mamaroneck Ave
Ste 410
Harrison, NY 10528
Phone (914) 381-2996

550 Mamaroneck Ave
Ste 200
Harrison, NY 10528
Phone (914) 777-5767

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447375795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053212",
            "telephone_number": "914-261-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE",
            "address_2": "SUITE 410",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281634",
            "telephone_number": "914-777-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLMAN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "006082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.