Individual provider Active NPI

Rolonda Carr, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1457729444
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008364 Issued in NY
Practice address
1445 Metropolitan Ave
Bronx, NY 10462-7400
Phone
(718) 931-1369
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008364 NY Primary

Addresses

Primary practice location

1445 Metropolitan Ave
Bronx, NY 10462-7400

Mailing address

1445 Metropolitan Ave
Bronx, NY 10462-7400
Phone (718) 931-1369

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
I20151113000118 NY Practitioner - Optometry 2961712468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008364NYMDOptometrist
008364NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince Sep 1, 2015 Accepting new patients
Empire Vision Center, Inc CurrentSince Sep 1, 2015 Accepting new patients
Empire Vision Center, Inc. Past Accepting new patients

Locations

1445 Metropolitan Ave
Bronx, NY 10462
Phone (718) 931-1369

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

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

130 N Route 303
Ste 6
West Nyack, NY 10994
Phone (845) 348-3236

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 3

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1457729444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627400",
            "telephone_number": "718-931-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 METROPOLITAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627400",
            "telephone_number": "718-931-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ROLONDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.