Individual provider Active NPI

Paul Taylor Landry, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1730797580
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009301 Issued in NY
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

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9913TG TX
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114000060 TX Practitioner - Optometry 8628502549 Reassigns benefits to 1 organization

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
Texan Eye, PAGroup PAC ID 2466440458, 18 clinicians

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

LicenseStateTypeSpecialty
9913TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, P.a. CurrentSince Nov 4, 2024 Accepting new patients
Texan Eye, PA Optometrist CurrentSince Nov 4, 2024 Accepting new patients
See Inc Optometrist PastSince Jan 3, 2021 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.

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

Verify at the official NPI Registry.