Individual provider Active NPI

Clara Colmenares-Pascual, O.D.

  • Occupational Vision Optometrist
  • New York, NY
National Provider Identifier
1821028192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
006170 Issued in NY
Practice address
110 Dyckman St
New York, NY 10040-1001
Phone
(212) 567-6789
Fax
(212) 304-1184
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision Optometrist 152WX0102X 006170 NY Primary

Addresses

Primary practice location

110 Dyckman St
New York, NY 10040-1001

Mailing address

43 Dobbs Ferry Rd
White Plains, NY 10607-2058
Phone (914) 683-8026

Other identifiers 1

IdentifierTypeStateIssuer
01997608MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000894 NY Practitioner - Optometry 3971594979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
006170NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821028192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DOBBS FERRY RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072058",
            "telephone_number": "914-683-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DYCKMAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401001",
            "telephone_number": "212-567-6789",
            "fax_number": "212-304-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMENARES-PASCUAL",
        "first_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "006170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.