Active NPI
Tara Damani, OD
- Optometrist
- New York, NY
National Provider Identifier
1467014738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ORT008962-01
- Practice address
- 111 Wadsworth Ave
New York, NY 10033-6102 - Phone
- (646) 682-7544
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ORT008962-01 | NY | Primary |
Addresses
Primary practice location
111 Wadsworth Ave
New York, NY 10033-6102
Mailing address
111 Wadsworth Ave
New York, NY 10033-6102
Other practice location 1
3300 Third Ave
Bronx, NY 10456-6748
Phone (718) 618-7955
Other practice location 2
1761 Rockaway Pkwy
Brooklyn, NY 11236-4825
Phone (718) 513-9666
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ORT008962-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Optometry 121 PC | Optometrist | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1013394360
-
- Optometrist
- Brooklyn, NY
- NPI 1033803572
-
- Optometrist
- Bronx, NY
- NPI 1710540471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1467014738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WADSWORTH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WADSWORTH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336102",
"telephone_number": "646-682-7544"
}
],
"practiceLocations": [
{
"address_1": "3300 Third Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104566748",
"country_code": "US",
"telephone_number": "718-618-7955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1761 Rockaway Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112364825",
"country_code": "US",
"telephone_number": "718-513-9666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMANI",
"first_name": "TARA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "ORT008962-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.