Vincente A Calderon, O.D.
Individual provider Active NPI Optometrist · East Rockaway, NY
NPI 1457542375 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1457542375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV007143-1 (NY)
- Practice address
- 8 Davison PLZ
East Rockaway, NY 11518-1545 - Phone
- (347) 717-4117
- Fax
- (347) 772-3032
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10222 Atlantic Ave
Ozone Park, NY 11416-1739
Phone (718) 846-1144
8 Davison PLZ
East Rockaway, NY 11518-1545
Phone (347) 717-4117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100406000001 | NY | Practitioner - Optometry | 9537295217 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007143-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincente Calderon OD PC | Optometrist | Current |
Accepting new patients |
| Aspire Health Solutions Inc | Optometrist | Current |
Accepting new patients |
| Ejmvkk Associates Inc | Optometrist | Current |
Accepting new patients |
| Framebar Co LLC | Optometrist | Current |
Accepting new patients |
| Sap Optical | Optometrist | Past |
Accepting new patients |
Locations
2742A E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380
2742 E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380
26001 79th Ave
Glen Oaks, NY 11004
Phone (347) 422-7380
2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038
10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | TUV007143-1 | NY | |
| Optometrist | 152W00000X | TUV007143-1 | NY | Yes |
Addresses
Primary practice location
8 Davison PLZ
East Rockaway, NY 11518-1545
Mailing address
8 Davison PLZ
East Rockaway, NY 11518-1545
Phone (347) 717-4117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02904052 | Medicaid | NY |
Other providers in East Rockaway, NY
- Bright Achievers Inc.
- Rebecca Bristol
- Nina Brodsky-Beno
- Janine Marie Buccheri
- Joanne Button
- Bradley Camhi
- Denise Canlon
- Elaine Cao-Zhen
- Michelle L Capofari
- Caring Rehab PT PLLC
All providers in East Rockaway, NY · Optometrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.