Individual provider Active NPI

Patrick Titterington, OD

  • Optometrist
  • Delmar, NY
National Provider Identifier
1619485885
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008642 Issued in NY
Practice address
228 Delaware Ave
Delmar, NY 12054-1244
Phone
(518) 754-4660
NPI assigned
Jan 22, 2018
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5258 MA
Optometrist 152W00000X 008642 NY Primary

Addresses

Primary practice location

228 Delaware Ave
Delmar, NY 12054-1244

Mailing address

228 Delaware Ave
Delmar, NY 12054-1244
Phone (518) 754-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20180319000488 MA Practitioner - Optometry 6800158551 Reassigns benefits to 1 organization
I20250522000938 NY Practitioner - Optometry 6800158551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

228 Delaware Ave
Delmar, NY 12054-1244
Phone (518) 439-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008642NYMDRegistered Dietitian
5258MAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Apr 2, 2018 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Mar 8, 2025 Accepting new patients
Buenau's Opticians Inc CurrentSince Jun 25, 2023 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

228 Delaware Ave
Delmar, NY 12054
Phone (518) 439-7012

75 Main St
Sidney, NY 13838
Phone (607) 563-2442

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1619485885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541244",
            "telephone_number": "518-754-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541244",
            "telephone_number": "518-754-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTERINGTON",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5258",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.