Dr.Anthony Modesto OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT003195 Issued in NY

Legal business name

DR.ANTHONY MODESTO OD PC

Doing business as

advanced eyecare

Practice address

385 Route 25a Unit 6
Miller Place, NY 11764-2501

Phone

(631) 642-8400

Fax

(631) 642-8403

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Modesto, ODNPI 1851478259

Title

Optometrist/President

Phone

(631) 642-8400

Specialties & licenses 1

Addresses

Other names 1

• advanced eyecare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Modesto, OD

  • Optometrist
  • Miller Place, NY
  • NPI 1851478259
  NPD Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1750573093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUTE 25A UNIT 6",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642501",
            "telephone_number": "631-642-8400",
            "fax_number": "631-642-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ROUTE 25A UNIT 6",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642501",
            "telephone_number": "631-642-8400",
            "fax_number": "631-642-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ANTHONY MODESTO OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MODESTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "631-642-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine P Dodge, RN
• Donna Lanza Physical Therapy PC
• Denise Bronzino Donowitz, PH.D.
• Courtney Lynn Dorian
• Dr. Robert E. Stoessel, Psychologist, P.C,
• Lisa A Droll
• East End Psychological Services, P.C.
• Richard Frederick Ebbrecht, D.C.
• Echo Clinical Associates LLC
• Echo Pharmacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.