Organization Active NPI

Safi Optometrist PC

  • Optometrist
  • Clay, NY
National Provider Identifier
1497968135
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAFI OPTOMETRIST PC
Practice address
4160 Route 31
Suite 100a
Clay, NY 13041-8719
Phone
(315) 546-0393
Fax
(315) 546-0395
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Anthony Mondo, ODNPI 1225005986
Title
President
Phone
(315) 729-7627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4160 Route 31
Suite 100a
Clay, NY 13041-8719

Mailing address

4160 Route 31
Clay, NY 13041-8719
Phone (315) 546-0393

Other names 1

  • Mondo Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000266 NY Part B Supplier - Clinic/Group Practice 2466540836 Receives reassigned benefits from 2 practitioners
Practice locations: Cicero, NY; Clay, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1497968135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 ROUTE 31",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418719",
            "telephone_number": "315-546-0393",
            "fax_number": "315-546-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 ROUTE 31",
            "address_2": "SUITE 100A",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418719",
            "telephone_number": "315-546-0393",
            "fax_number": "315-546-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFI OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "MONDO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-729-7627",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mondo Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.