Individual provider Active NPI

Christina Gorman, O.D.

  • Optometrist
  • Cortlandt Manor, NY
National Provider Identifier
1538478136
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007558 Issued in NY
Practice address
2127 Crompond Rd
Cortlandt Manor, NY 10567-4329
Phone
(914) 737-2020
NPI assigned
Sep 29, 2010
Last updated
Sep 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007558 NY Primary

Addresses

Primary practice location

2127 Crompond Rd
Cortlandt Manor, NY 10567-4329

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

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
I20140110000360 NY Practitioner - Optometry 8426286832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
200 West Optics LLCGroup PAC ID 5395144380, 38 clinicians

Practice addresses (Care Compare)

2127 Crompond Rd
Suite 101
Cortlandt Manor, NY 10567-4328
Phone (914) 737-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007558NYMDOptometrist
007558NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
200 West Optics, LLC Optometrist CurrentSince Oct 11, 2021 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Oct 11, 2021 Accepting new patients
200 West Optics, LLC Optometrist Current Accepting new patients

Locations

2127 Crompond Rd
Ste 101
Cortlandt Mnr, NY 10567
Phone (914) 737-2020

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1538478136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674329",
            "telephone_number": "914-737-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.