Individual provider Active NPI

Christine Auguste, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1821685090
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009295 Issued in NY
Practice address
455 E 149TH St
Bronx, NY 10455-1314
Phone
(718) 292-2002
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009295 NY Primary

Addresses

Primary practice location

455 E 149TH St
Bronx, NY 10455-1314

Mailing address

455 E 149TH St
Bronx, NY 10455-1314

Other practice location 1

415 Commack Rd
Deer Park, NY 11729-4508
Phone (631) 392-0711

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
I20210330000962 NY Practitioner - Optometry 6103233606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista on 3Rd IncGroup PAC ID 8426389941, 2 clinicians
Bronx Vista Inc.Group PAC ID 3971805151, 7 clinicians

Practice addresses (Care Compare)

2882 3Rd Ave
Bronx, NY 10455-2640
Phone (718) 585-1500

455 E 149TH St
Bronx, NY 10455-1314
Phone (718) 292-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009295NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista on 3Rd Inc. Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Bronx Vista Inc Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Optical Shop of Deer Park Inc Optometrist Past Accepting new patients

Locations

455 E 149th St
Bronx, NY 10455
Phone (718) 292-2002

2882 3rd Ave
Bronx, NY 10455
Phone (718) 585-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1821685090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551314",
            "telephone_number": "718-292-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117294508",
            "country_code": "US",
            "telephone_number": "631-392-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.