Active NPI
Victor Manuel Mercedes
- Optician
- White Plains, NY
National Provider Identifier
1568978773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009043
- Practice address
- 275 Main St
Walmart Vision Center
White Plains, NY 10601 - Phone
- (914) 285-1090
- Fax
- (914) 285-1329
- NPI assigned
- Dec 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009043 | NY | Primary |
Addresses
Primary practice location
275 Main St
Walmart Vision Center
White Plains, NY 10601
Mailing address
275 Main St
Walmart Vision Center
White Plains, NY 10601
Phone (914) 285-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1568978773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MAIN ST",
"address_2": "WALMART VISION CENTER",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-285-1090",
"fax_number": "914-285-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MAIN ST",
"address_2": "WALMART VISION CENTER",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-285-1090",
"fax_number": "914-285-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCEDES",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.