Individual provider Active NPI

Marilyn Vricella, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1851359558
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005896 Issued in NY
Practice address
33 W 42ND St
Optometric Center Suny College of Optometry
New York, NY 10036-8003
Phone
(212) 938-4157
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005896 NY Primary
Pediatric Optometrist 152WP0200X TUV005896 NY

Addresses

Primary practice location

33 W 42ND St
Optometric Center Suny College of Optometry
New York, NY 10036-8003

Mailing address

33 W 42ND St
Optometric Center Suny College of Optometry
New York, NY 10036-8003

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
I20090311000337 NY Practitioner - Optometry 6800952136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005896NYMDPediatric Optometrist

Interoperability endpoints

  • Direct secure messaging: marilyn.vricella.p1@direct.opt.nextgenshare.com

Organizations & group practices 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1851359558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "address_2": "OPTOMETRIC CENTER SUNY COLLEGE OF OPTOMETRY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "address_2": "OPTOMETRIC CENTER SUNY COLLEGE OF OPTOMETRY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368003",
            "telephone_number": "212-938-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRICELLA",
        "first_name": "MARILYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005896",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV005896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.