Active NPI
Paul Taylor Landry, OD
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009301
- Practice address
- 207 Columbus Ave
New York, NY 10023-4013 - Phone
- (646) 335-4203
- NPI assigned
- Jul 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9913TG | TX | |
| Optometrist | 152W00000X | 009301 | NY | Primary |
Addresses
Primary practice location
207 Columbus Ave
New York, NY 10023-4013
Mailing address
483 Columbus Ave Apt 1D
New York, NY 10024-4631
Phone (713) 320-9493
Other practice location 1
3007 Peekskill Ct
Pearland, TX 77584-4950
Phone (713) 320-9493
Other practice location 2
312 Bleecker St
New York, NY 10014-3437
Phone (212) 989-7060
Other practice location 3
1100 Madison Ave
New York, NY 10028-0327
Phone (646) 678-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- University of Houston - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S Mo Pac Expy
Austin, TX 78746-7572
Phone (512) 327-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9913TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texan Eye, P.a. | Current | Accepting new patients | |
| Texan Eye, PA | Optometrist | Current | Accepting new patients |
| See Inc | Optometrist | Past | Accepting new patients |
| See Inc | Optometrist | Past | Accepting new patients |
| Texan Eye, PA | Past | Accepting new patients | |
| See Inc | Optometrist | Past | Accepting new patients |
| Eye Clinic of Austin PLLC | Optometrist | Past | Accepting new patients |
Locations
7000 N Mopac Expy
Ste 145
Austin, TX 78731
1700 S Mopac Expy
Austin, TX 78746
5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613
85 Loop 150 W
Bastrop, TX 78602
Phone (512) 303-7300
925 Starwood Dr
Cedar Park, TX 78613
950 W University Ave
Ste 108
Georgetown, TX 78626
Phone (512) 240-5862
Organizations & group practices 7
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
- Cedar Park, TX
- NPI 1053773127
-
- Optometrist
- New York, NY
- NPI 1427273374
-
- Optometrist
- New York, NY
- NPI 1619531837
-
- Optometrist
- New York, NY
- NPI 1710136171
-
- Ophthalmology Physician
- Austin, TX
- NPI 1144364431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1730797580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 COLUMBUS AVE APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244631",
"telephone_number": "713-320-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234013",
"telephone_number": "646-335-4203"
}
],
"practiceLocations": [
{
"address_1": "3007 Peekskill Ct",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775844950",
"country_code": "US",
"telephone_number": "713-320-9493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 Bleecker St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100143437",
"country_code": "US",
"telephone_number": "212-989-7060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100280327",
"country_code": "US",
"telephone_number": "646-678-4244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRY",
"first_name": "PAUL",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-17",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9913TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "009301",
"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 Dec 30, 2020; 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.