Individual provider Active NPI

Katherine B Ensign, OD

  • Optometrist
  • Port Chester, NY
National Provider Identifier
1477395580
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011120 Issued in NY
Practice address
44 N Main St
Port Chester, NY 10573-4252
Phone
(914) 481-1577
NPI assigned
Jun 10, 2024
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011120 NY Primary

Addresses

Primary practice location

44 N Main St
Port Chester, NY 10573-4252

Mailing address

44 N Main St
Port Chester, NY 10573-4252
Phone (914) 481-1577

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
I20260409000326 NY Practitioner - Optometry 9436624202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 E Main St
Port Chester, NY 10573-4252

PO Box
Suite 4
Dumont, NJ 07628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011120NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Vamc CurrentSince Jun 16, 2024 Accepting new patients
Port Chester Eyecare Inc Optometrist CurrentSince Nov 18, 2025 Accepting new patients

Locations

41 Castle Point Rd
Wappingers Falls, NY 12590
Phone 8458312000 ext. 4098

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1477395580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N MAIN ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734252",
            "telephone_number": "914-481-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N MAIN ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734252",
            "telephone_number": "914-481-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.