Individual provider Active NPI

Kirk Flynn, OD

  • Optometrist
  • Pearl River, NY
National Provider Identifier
1689654063
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5469 Issued in NY
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

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C04272OtherNYBCBS
P2751574OtherNYOXFORD
484283OtherNYAETNA
1C7781OtherNYHEALTHNET

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000354 NY Practitioner - Optometry 6406888254 Reassigns benefits to 1 organization
Practice locations: Pearl River, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flynn Optometry PLLCGroup PAC ID 7810132446, 3 clinicians

Practice addresses (Care Compare)

275 N Middletown Rd
Suite 2B
Pearl River, NY 10965-1190
Phone (845) 735-5757

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5469NYMDOptometrist
005469NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Flynn Optometry PLLC Optometrist CurrentSince Jan 1, 2013 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.

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

Verify at the official NPI Registry.