Organization Active NPI

Mt Pleasant Vision Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Thornwood, NY
National Provider Identifier
1770760308
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5840 Issued in NY
Legal business name
MT PLEASANT VISION CENTER, INC
Practice address
660 Columbus Ave
3-3
Thornwood, NY 10594-1909
Phone
(914) 747-2000
Fax
(914) 747-4032
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Andrea S Kaiser, ODNPI 1578600938
Title
Optometrist
Phone
(914) 747-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5840 NY Primary

Addresses

Primary practice location

660 Columbus Ave
3-3
Thornwood, NY 10594-1909

Mailing address

660 Columbus Ave
3-3
Thornwood, NY 10594-1909
Phone (914) 747-2000

Other identifiers 3

IdentifierTypeStateIssuer
C244D1OtherNYEMPIRE BLUE CROSS BLUE SHIELD
6501628OtherNYGHI
P2496215OtherNYOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110121000478 NY Part B Supplier - Clinic/Group Practice 6406052760 Receives reassigned benefits from 1 practitioner
Practice locations: Thornwood, NY

National Provider Directory

National Provider Directory

Locations

660 Columbus Ave
#33
Thornwood, NY 10594
Phone (914) 747-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1770760308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 COLUMBUS AVE",
            "address_2": "3-3",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941909",
            "telephone_number": "914-747-2000",
            "fax_number": "914-747-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 COLUMBUS AVE",
            "address_2": "3-3",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941909",
            "telephone_number": "914-747-2000",
            "fax_number": "914-747-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "914-747-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "C244D1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6501628",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2496215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.