Active NPI
Kirk Flynn, OD
- Optometrist
- Pearl River, NY
National Provider Identifier
1689654063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5469
- Practice address
- 275 N Middletown Rd
2B
Pearl River, NY 10965-1188 - Phone
- (845) 735-5757
- NPI assigned
- Jan 20, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5469 | NY | Primary |
Addresses
Primary practice location
275 N Middletown Rd
2B
Pearl River, NY 10965-1188
Mailing address
275 N Middletown Rd
2B
Pearl River, NY 10965-1188
Phone (845) 735-5757
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C04272 | Other | NY | BCBS |
| P2751574 | Other | NY | OXFORD |
| 484283 | Other | NY | AETNA |
| 1C7781 | Other | NY | HEALTHNET |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 N Middletown Rd
Suite 2B
Pearl River, NY 10965-1190
Phone (845) 735-5757
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5469 | NY | MD | Optometrist |
| 005469 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flynn Optometry PLLC | Optometrist | Current | Accepting new patients |
Locations
275 N Middletown Rd
Ste 2B
Pearl River, NY 10965
Phone (845) 735-5757
Organizations & group practices 1
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
- Pearl River, NY
- NPI 1457695033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1689654063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD",
"address_2": "2B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-735-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD",
"address_2": "2B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-735-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KIRK",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "5469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "C04272",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2751574",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "484283",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1C7781",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.