Individual provider Active NPI

Denise M Whittam, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1699742403
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005247 Issued in NY
Practice address
500 Lexington Ave
Cohens Fashion Optical of 47TH St
New York, NY 10017
Phone
(212) 697-9299
Fax
(212) 697-8872
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005247 NY Primary

Addresses

Primary practice location

500 Lexington Ave
Cohens Fashion Optical of 47TH St
New York, NY 10017

Mailing address

500 Lexington Ave
Cohens Fashion Optical of 47TH St
New York, NY 10017
Phone (212) 697-9299

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
I20250409002612 NY Practitioner - Optometry 5395269500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

825 Broadway
New York, NY 10003-4702
Phone (212) 475-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005247NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Broadway Sa Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

825 Broadway
New York, NY 10003
Phone (212) 475-0999

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699742403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LEXINGTON AVE",
            "address_2": "COHENS FASHION OPTICAL OF 47TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-697-9299",
            "fax_number": "212-697-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEXINGTON AVE",
            "address_2": "COHENS FASHION OPTICAL OF 47TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-697-9299",
            "fax_number": "212-697-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAM",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.