Individual provider Active NPI

Marc M. Silverman, O.D.

  • Optometrist
  • Huntington, NY
National Provider Identifier
1730161894
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003402 Issued in NY
Practice address
27 Fairview St
Huntington, NY 11743-3413
Phone
(631) 421-0958
Fax
(631) 421-0959
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 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 VUT003402 NY Primary

Addresses

Primary practice location

27 Fairview St
Huntington, NY 11743-3413

Mailing address

27 Fairview St
Huntington, NY 11743-3413
Phone (631) 421-0958

Other identifiers 1

IdentifierTypeStateIssuer
00411312MedicaidNY

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
I20040720001544 NY Practitioner - Optometry 1557341732 Reassigns benefits to 1 organization
Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Fairview St
Huntington, NY 11743-3413
Phone (631) 421-0958

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT003402NYMDOptometrist
003402NYMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1730161894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FAIRVIEW ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433413",
            "telephone_number": "631-421-0958",
            "fax_number": "631-421-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FAIRVIEW ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433413",
            "telephone_number": "631-421-0958",
            "fax_number": "631-421-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MARC",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00411312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.