Maureen C Odwyer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT006151 Issued in NY

Practice address

121 East 60TH Street
Suite 2C
New York, NY 10022

Phone

(212) 327-3415

Fax

(212) 838-4145

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Primary Eye Care Optometry LLPGroup PAC ID 5799061875, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Primary Eye Care Optometry, LLP

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1700323136
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1720176092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136E 57TH ST 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222780",
            "telephone_number": "212-688-0618",
            "fax_number": "212-688-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST 60TH STREET",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-327-3415",
            "fax_number": "212-838-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODWYER",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "C236C1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwatoyin John Odumuwagun
• Adetokunbo Odunbaku
• Moriamo L. Odunsi
• Simone Odusanya
• Yetunde Oyinlola Odusanya, M. D.
• Odyssey Health Services
• Unoma Oechsle, LCSW
• Kevin C Oeffinger, MD
• Therez Oehlermarx, OTD
• Julianna Oehrlein, ATC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.

Verify at the official NPI Registry.