NPIMap

Organization Active NPI

Dr. Marilyn Mann and Dr. Margaret Siegrist PTRS

  • Optometrist
  • Valley Cottage, NY
National Provider Identifier
1790090249
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. MARILYN MANN AND DR. MARGARET SIEGRIST PTRS
Practice address
612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021
Phone
(845) 268-0045
Fax
(845) 268-0998
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Marilyn Mann, O.D.
Title
Optometrist
Phone
(845) 268-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021

Mailing address

612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021
Phone (845) 268-0045

National Provider Directory

National Provider Directory

Locations

612 Corporate Way
Ste 3
Vly Cottage, NY 10989
Phone (845) 268-0045

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": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1790090249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "address_2": "SUITE 3",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "845-268-0045",
            "fax_number": "845-268-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "address_2": "SUITE 3",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "845-268-0045",
            "fax_number": "845-268-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARILYN MANN AND DR. MARGARET SIEGRIST PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "845-268-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.