Laura Medina, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009998 Issued in NY

Practice address

130 Fort Washington Ave Ofc 1a
New York, NY 10032-4745

Phone

(212) 568-2600

Fax

(212) 568-0097

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthur M. Cotliar, MD PLLCGroup PAC ID 9234279266, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmedina@cotliar.intellechartdirect.net

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.

• Arthur M. Cotliar, MD PLLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1154657112
  Medicare reassignment Care Compare group NPD
• Arthur M. Cotliar, MD, PLLC

  • Eyewear Supplier
  • New York, NY
  • NPI 1942453824
  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1831927649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 10TH AVE APT 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORT WASHINGTON AVE OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324745",
            "telephone_number": "212-568-2600",
            "fax_number": "212-568-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janyll E Medina
• Julian Jeriel Medina, MD
• Karina Medina
• Kayla Medina, NP
• Kiara Medina
• Lillian K Medina, LCSW-R
• Margaret Rempe Medina
• Melinda Medina, LCSW
• Melissa Mariah Medina
• Samuel Medina

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.