Active NPI
Mt Pleasant Vision Center, Inc
- Durable Medical Equipment & Medical Supplies
- Thornwood, NY
National Provider Identifier
1770760308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrea S Kaiser, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C244D1 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
| 6501628 | Other | NY | GHI |
| P2496215 | Other | NY | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Thornwood, NY
- NPI 1578600938
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.