Omni Vision Optometric Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005613-1 Issued in NY

Legal business name

OMNI VISION OPTOMETRIC EYE CARE PLLC

Practice address

340 Route 202, Bailey CT.
BLDG a, 2ND Floor
Somers, NY 10589

Phone

(914) 669-9144

Fax

(914) 669-1035

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra J Tarasevich, O.D.NPI 1972583128

Title

Optometrist

Phone

(914) 669-9144

Specialties & licenses 1

Addresses

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.

• Sandra Jean Tarasevich, O.D.

  • Optometrist
  • Somers, NY
  • NPI 1972583128
  Medicare reassignment NPD Authorized official
• Albert C. Rosen, M.D.

  • Ophthalmology Physician
  • Thornwood, NY
  • NPI 1174691117
  Medicare reassignment NPD

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1457548802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202, BAILEY CT.",
            "address_2": "BLDG A, 2ND FLOOR",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-669-9144",
            "fax_number": "914-669-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202, BAILEY CT.",
            "address_2": "BLDG A, 2ND FLOOR",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-669-9144",
            "fax_number": "914-669-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI VISION OPTOMETRIC EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "TARASEVICH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "914-669-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005613-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Somers, NY
• Providers in Somers, 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 10, 2010; 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.