Brian David Fengel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004572-1 Issued in NY

Practice address

933 Mamaroneck Ave
Suite 105
Mamaroneck, NY 10543-1662

Phone

(914) 698-2182

Fax

(914) 381-2676

NPI assigned

Apr 11, 2006

Sex

Male

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Larchmont Mamaroneck Eye Care Group

  • Optometrist
  • Mamaroneck, NY
  • NPI 1164542916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1912960626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE",
            "address_2": "SUITE 105",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431662",
            "telephone_number": "914-698-2182",
            "fax_number": "914-381-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE",
            "address_2": "SUITE 105",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431662",
            "telephone_number": "914-698-2182",
            "fax_number": "914-381-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENGEL",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Maria Farah, FNP
• Barry A Farber, PH.D.
• Isabella Farias
• Angela M Fazzolari, SLP, CCC
• Dennis Fedele, D.D.S
• Ellen Ferber, LCSW
• Marni Ferguson
• Tahje Nyree Fields
• Jill Fife, LCSW
• John Nicholas Finelli, D.D.S.

• Optometrist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.