Active NPI
Todd David Punim, O.D.
- Low Vision Rehabilitation Optometrist
- Monroe, NY
National Provider Identifier
1497829600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 5073
- Practice address
- 91 Lakes Rd
Monroe, NY 10950-2613 - Phone
- (845) 783-1224
- Fax
- (845) 783-3905
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 5073 | NY | Primary |
Addresses
Primary practice location
91 Lakes Rd
Monroe, NY 10950-2613
Mailing address
9 Carriage Hill CT
Monroe, NY 10950-4477
Phone (845) 238-3604
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
91 Lakes Rd
Suite 1
Monroe, NY 10950-2694
Phone (845) 783-1224
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5073 | NY | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Family Eyecare Associates, LLP | Low Vision Rehabilitation | Current | Accepting new patients |
Locations
91 Lakes Rd
Ste 1
Monroe, NY 10950
Phone (845) 783-1224
91 Lakes Rd
Monroe, NY 10950
Phone (845) 782-8608
Organizations & group practices 1
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.
-
- Optometrist
- Monroe, NY
- NPI 1013088822
Low Vision Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497829600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CARRIAGE HILL CT",
"city": "MONROE",
"state": "NY",
"postal_code": "109504477",
"telephone_number": "845-238-3604",
"fax_number": "845-783-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 LAKES RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109502613",
"telephone_number": "845-783-1224",
"fax_number": "845-783-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNIM",
"first_name": "TODD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NY",
"license": "5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.