Individual provider Active NPI

Andrea P Thau

  • Optometrist
  • New York, NY
National Provider Identifier
1699777946
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT 4479 Issued in NY
Practice address
77 Park Ave
New York, NY 10016-2556
Phone
(212) 685-2457
Fax
(212) 685-5989
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT 4479 NY Primary

Addresses

Primary practice location

77 Park Ave
New York, NY 10016-2556

Mailing address

77 Park Ave
New York, NY 10016-2556
Phone (212) 685-2457

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
I20100607000078 NY Practitioner - Optometry 2264562040 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Park Ave
New York, NY 10016-2556
Phone (212) 685-2457

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT 4479NYMDOptometrist
004479NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist CurrentSince Jan 21, 2012 Accepting new patients
State of New York Comptrollers Office CurrentSince Jan 21, 2012 Accepting new patients
Andrea P Thau Optometrist PastSince Aug 6, 1984 Accepting new patients

Locations

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1699777946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162556",
            "telephone_number": "212-685-2457",
            "fax_number": "212-685-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162556",
            "telephone_number": "212-685-2457",
            "fax_number": "212-685-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAU",
        "first_name": "ANDREA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT 4479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.