Active NPI
Michael Thomas Montenare, O.D.
- Optometrist
- Wyckoff, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00641300
- Practice address
- 541 Cedar Hill Ave Ste H
Wyckoff, NJ 07481-2150 - Phone
- (631) 455-7123
- NPI assigned
- Aug 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 27OA00641300 | NJ | |
| Optometrist | 152W00000X | 27OA00641300 | NJ | Primary |
Addresses
Primary practice location
541 Cedar Hill Ave Ste H
Wyckoff, NJ 07481-2150
Mailing address
67 Cottage St FL 1
Midland Park, NJ 07432-1953
Phone (631) 455-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
541 Cedar Hill Ave
Suite H
Wyckoff, NJ 07481-2150
Phone (201) 857-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00641300 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montenare Eye Care & Vision Therapy LLC | Optometrist | Current | Accepting new patients |
| Visual Performance and Learning Center PC | Vision Therapy | Current | Accepting new patients |
Locations
17-10 Fair Lawn Ave
Fl 2
Fair Lawn, NJ 07410
Phone (201) 794-7977
541 Cedar Hill Ave
Wyckoff, NJ 07481
Phone (201) 447-6262
541 Cedar Hill Ave
Ste H
Wyckoff, NJ 07481
Phone (201) 857-5111
Organizations & group practices 2
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.
-
- Optometrist
- Wyckoff, NJ
- NPI 1477060267
-
dba Family Eyecare Associates
- Vision Therapy Optometrist
- Fair Lawn, NJ
- NPI 1831624485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1609124296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 COTTAGE ST FL 1",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321953",
"telephone_number": "631-455-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 CEDAR HILL AVE STE H",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812150",
"telephone_number": "631-455-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTENARE",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "27OA00641300",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00641300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.