Individual provider Active NPI

Ines Fernandez, O.D.

  • Optometrist
  • Yonkers, NY
National Provider Identifier
1528419140
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008438 Issued in NY
Practice address
652 Tuckahoe Rd
Yonkers, NY 10710-5705
Phone
(914) 337-3322
NPI assigned
Jun 24, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008438 NY Primary

Addresses

Primary practice location

652 Tuckahoe Rd
Yonkers, NY 10710-5705

Mailing address

652 Tuckahoe Rd
Yonkers, NY 10710-5705
Phone (914) 337-3322

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
I20161010000178 NY Practitioner - Optometry 8729376611 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astoria Vision Center Inc Optometrist CurrentSince Jun 27, 2022 Accepting new patients
Jackson Heights Optical Inc Optometrist CurrentSince Jul 20, 2016 Accepting new patients
Raymond Opticians Past Accepting new patients

Locations

3620 Broadway
Astoria, NY 11106
Phone (718) 204-2007

8325 37th Ave
Jackson Hts, NY 11372
Phone (718) 246-2725

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, 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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1528419140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105705",
            "telephone_number": "914-337-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105705",
            "telephone_number": "914-337-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "INES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.