NPIMap

Organization Active NPI

Vincente Calderon OD PC

Doing business as iCare

  • Optometrist
  • Oceanside, NY
National Provider Identifier
1881994994
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007143 Issued in NY
Legal business name
VINCENTE CALDERON OD PC
Doing business as
iCare
Practice address
2799 Elm St
Oceanside, NY 11572-1914
Phone
(347) 821-9748
NPI assigned
Oct 25, 2010
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Vincente Anthony Calderon, O.D.NPI 1457542375
Title
Optometrist
Phone
(347) 709-3393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 007143 NY Primary

Addresses

Primary practice location

2799 Elm St
Oceanside, NY 11572-1914

Mailing address

2742A E Tremont Ave
Bronx, NY 10461-2808
Phone (347) 709-3393

Other identifiers 1

IdentifierTypeStateIssuer
03343395MedicaidNY

Other names 1

  • iCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000633 NY Part B Supplier - Clinic/Group Practice 7719160795 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY; Glen Oaks, NY

National Provider Directory

National Provider Directory

Locations

2742 E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380

2742A E Tremont Ave
Bronx, NY 10461
Phone (347) 709-3393

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1881994994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612808",
            "telephone_number": "347-709-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 ELM ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721914",
            "telephone_number": "347-821-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTE CALDERON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "VINCENTE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-709-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03343395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.