Active NPI
Robert M. Mintz, O.D.
- Optometrist
- Astoria, NY
National Provider Identifier
1689898728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003118-1
- Practice address
- 3185 Steinway St
C/O Designer Optical
Astoria, NY 11103-3908 - Phone
- (718) 685-2009
- Fax
- (718) 685-2053
- NPI assigned
- Apr 12, 2007
- 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 | TUV003118-1 | NY | Primary |
Addresses
Primary practice location
3185 Steinway St
C/O Designer Optical
Astoria, NY 11103-3908
Mailing address
3185 Steinway St
C/O Designer Optical
Astoria, NY 11103-3908
Phone (718) 685-2009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003118 | NY | MD | Behavioral Analyst |
| TUV003118-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cocos Vision Designer Optical | Optometrist | Current | Accepting new patients |
| G&D Eyewear | Past | Accepting new patients | |
| Sharp Vision Corp | Optometrist | Past | Accepting new patients |
Locations
3185 Steinway St
Astoria, NY 11103
Phone (718) 685-2009
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 and National Provider Directory roles.
-
- Optometrist
- Astoria, NY
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dba Cohen's Fashion Optical
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- NPI 1669663894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1689898728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3185 STEINWAY ST",
"address_2": "C/O DESIGNER OPTICAL",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033908",
"telephone_number": "718-685-2009",
"fax_number": "718-685-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 STEINWAY ST",
"address_2": "C/O DESIGNER OPTICAL",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033908",
"telephone_number": "718-685-2009",
"fax_number": "718-685-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTZ",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003118-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.