Devora Grossman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T006559 Issued in NY

Practice address

1633 Route 202 Ste 108
Pomona, NY 10970-2926

Phone

(845) 354-5661

Fax

(845) 262-1545

NPI assigned

Jul 12, 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

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyemagination Optical CorpGroup PAC ID 2567423973, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eyemagination Optical Corp

  • Optometrist
  • Pomona, NY
  • NPI 1871631374
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1912932302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 202 STE 108",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702926",
            "telephone_number": "845-354-5661",
            "fax_number": "845-262-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 202 STE 108",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702926",
            "telephone_number": "845-354-5661",
            "fax_number": "845-262-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "DEVORA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gotlieb, OT
• Ailene Graff, BS RPH
• Danielle Renee Green- Brown, REGISTERED NURSE, RN
• William Greenberg, M.D.
• Steven C Greene, DMD
• Tova Grumet, M.A. CCC-SLP
• Jasmin Guisao
• Maurice Haberman, MD
• Jesse Hackell, M.D.
• Edward George Hall, MEDICAL DOCTOR

• Optometrist in Pomona, NY
• Providers in Pomona, 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 13, 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.
• 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.