Active NPI
Denise M Whittam, OD
- Optometrist
- New York, NY
National Provider Identifier
1699742403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005247
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005247 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes on Broadway Sa Inc | Current | 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.
-
- Eyewear Supplier
- New York, NY
- NPI 1396527222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.