Individual provider Active NPI

Vandana Dharmapuri, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1538542501
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008393 Issued in NY
Practice address
2274 3Rd Ave
New York, NY 10035
Phone
(212) 722-4453
Fax
(212) 672-4997
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00660400 NJ
Optometrist 152W00000X 27OM00128100 NJ
Optometrist 152W00000X TUV008393 NY Primary

Addresses

Primary practice location

2274 3Rd Ave
New York, NY 10035

Mailing address

2274 3Rd Ave
New York, NY 10035-2209
Phone (212) 722-4453

Other practice location 1

2371 2nd Ave
New York, NY 10035-3109
Phone (215) 290-0910

Other practice location 2

2371 2nd Ave
New York, NY 10035-3109
Phone (215) 290-0910

Other practice location 3

2336 Grand Concourse
Bronx, NY 10458-6903
Phone (718) 220-0439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150727001981 NJ Practitioner - Optometry 4981918505 Reassigns benefits to 1 organization
I20170322000474 NY Practitioner - Optometry 4981918505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00128100NJMDOptometrist
TUV008393NYMDOptometrist
008393NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision World Prof Corp Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Metros Eye Care Optometry, P.C. Optometrist CurrentSince Oct 4, 2017 Accepting new patients
Optical World of Elizabeth LLC Optometrist PastSince Oct 1, 2024 Accepting new patients

Locations

206 Broad St
Elizabeth, NJ 07201
Phone (908) 629-0011

2371 2nd Ave
New York, NY 10035
Phone (212) 987-3600

2274 3rd Ave
New York, NY 10035
Phone (212) 722-4453

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1538542501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352209",
            "telephone_number": "212-722-4453",
            "fax_number": "212-672-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-722-4453",
            "fax_number": "212-672-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2371 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353109",
            "country_code": "US",
            "telephone_number": "215-290-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2371 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100353109",
            "country_code": "US",
            "telephone_number": "215-290-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2336 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104586903",
            "country_code": "US",
            "telephone_number": "718-220-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARMAPURI",
        "first_name": "VANDANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00660400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00128100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.