Individual provider Active NPI

Todd David Punim, O.D.

  • Low Vision Rehabilitation Optometrist
  • Monroe, NY
National Provider Identifier
1497829600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
5073 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000509 NY Practitioner - Optometry 6103816871 Reassigns benefits to 1 organization

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
Monroe Family Eyecare Associates, LLPGroup PAC ID 5496704520, 4 clinicians

Practice addresses (Care Compare)

91 Lakes Rd
Suite 1
Monroe, NY 10950-2694
Phone (845) 783-1224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5073NYMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Family Eyecare Associates, LLP Low Vision Rehabilitation CurrentSince Jan 1, 2003 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.

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

Verify at the official NPI Registry.