Organization Active NPI

Chappaqua Eyecare Optometry PC

Doing business as Eye Gallery of Chappaqua

  • Optometrist
  • Chappaqua, NY
National Provider Identifier
1710158209
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005961-1 Issued in NY
Legal business name
CHAPPAQUA EYECARE OPTOMETRY PC
Doing business as
Eye Gallery of Chappaqua
Practice address
22 S Greeley Ave
Chappaqua, NY 10514-3311
Phone
(914) 238-5600
Fax
(914) 238-5617
NPI assigned
Mar 12, 2008
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Chris Gentile, ODNPI 1013969971
Title
OD/Owner
Phone
(914) 238-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005961-1 NY Primary

Addresses

Primary practice location

22 S Greeley Ave
Chappaqua, NY 10514-3311

Mailing address

22 S Greeley Ave
Chappaqua, NY 10514-3311
Phone (914) 238-5600

Other names 1

  • Eye Gallery of Chappaqua Doing business as

National Provider Directory

National Provider Directory

Locations

22 S Greeley Ave
Chappaqua, NY 10514
Phone (914) 238-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1710158209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREELEY AVE",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143311",
            "telephone_number": "914-238-5600",
            "fax_number": "914-238-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREELEY AVE",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143311",
            "telephone_number": "914-238-5600",
            "fax_number": "914-238-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPPAQUA EYECARE OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "914-238-5600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Gallery of Chappaqua",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Gallery of Chappaqua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.