Active NPI
Michael Vincent Landy, OD
- Optometrist
- Warren, PA
National Provider Identifier
1851619167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007553-1
- Practice address
- 2 Farm Colony Dr
Warren, PA 16365-5206 - Phone
- (814) 726-2303
- NPI assigned
- May 11, 2010
- Last updated
- Dec 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007553-1 | NY | Primary |
Addresses
Primary practice location
2 Farm Colony Dr
Warren, PA 16365-5206
Mailing address
462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007553-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1851619167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012721",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FARM COLONY DR",
"city": "WARREN",
"state": "PA",
"postal_code": "163655206",
"telephone_number": "814-726-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDY",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007553-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.