Dana Lynn Mavrovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005957 Issued in NY

Practice address

1036 3Rd Ave
New York, NY 10065-8111

Phone

(212) 751-6177

Fax

(212) 751-6178

NPI assigned

Sep 16, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pro Optics Corp

  • Optometrist
  • Bronx, NY
  • NPI 1013171149
  Medicare reassignment NPD
• Optyx LLC

  • Optometrist
  • Berkeley Heights, NJ
  • NPI 1205082047

  NY

  Medicare reassignment NPD
• 519 Eyecare Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1154344075
  NPD (past)
• Optyx LLC

  • Eyewear Supplier
  • New York, NY
  • NPI 1649459363
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1861598641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 63RD ST APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657778",
            "telephone_number": "917-671-6898",
            "fax_number": "212-751-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658111",
            "telephone_number": "212-751-6177",
            "fax_number": "212-751-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROVICH",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02661723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Ann Marie Mavrinac, D.D.S.
• Natalia Mavrogiannis, MD
• Magdaline Mavromatis
• Maria Anna Mavrommatis, BA
• Carol Mavronicolas
• Kristina N Mavrovich, M.S., CCC-SLP, TSSLD
• Nicole Anne Mawhirter, PT, DPT
• Thomas Mawson, MD
• Max Life Pharmacy Inc
• Max Malitzky LLC

• 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 Jun 15, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.