Anupama Yennamandra, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV-007940 Issued in NY

Practice address

1430 3Rd Ave
New York, NY 10028-1904

Phone

(917) 432-5403

NPI assigned

Oct 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Optometry Care PC

  • Optometrist
  • Bronx, NY
  • NPI 1447608732
  Medicare reassignment NPD

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1558615617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281904",
            "telephone_number": "917-432-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281904",
            "telephone_number": "917-432-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENNAMANDRA",
        "first_name": "ANUPAMA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-007940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Yen, CRNA
• Stephen Yen, D.D.S.
• Ting Ju Yen, SDDS
• Vincent Yen, MD
• Valentyna Yendovytska
• Gladys Marie Yensi, PA-C
• Michaella Yentz, DPT
• Yeo Massage Therapy PC
• Yeo Nutrition & Wellness PLLC
• Catherine L Yeo, PHYSICIAN ASSISTANT

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.