Neuro-Ophthalmic Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

90955 Issued in NY

Legal business name

NEURO-OPHTHALMIC ASSOCIATES

Practice address

635 West 165 St
New York City, NY 11753

Phone

(212) 305-5415

Fax

(212) 305-3389

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Myles Michael Behrens, MD

Title

Partner

Phone

(212) 305-5415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750350104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 WEST 165 ST",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "212-305-5415",
            "fax_number": "212-305-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 WEST 165 ST",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "212-305-5415",
            "fax_number": "212-305-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-OPHTHALMIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-305-5415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "90955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in New York City, NY
• Providers in New York City, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.