David John Vinci, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006918 Issued in NY

Practice address

6 Headwaters PLZ
Adirondack Eye Care
Boonville, NY 13309-1300

Phone

(315) 942-2122

Fax

(315) 942-2084

NPI assigned

Jul 21, 2005

Last updated

Sep 3, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Center of Rome IncGroup PAC ID 0648451724, 4 clinicians

Adirondack Eyecare Center IncGroup PAC ID 1850335944, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adirondack Eyecare Center Inc

  dba Adirondack EyeCare Inc

  • Optometrist
  • Boonville, NY
  • NPI 1215036405
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Care Center of Rome Inc

  • Optometrist
  • Rome, NY
  • NPI 1518277409
  Medicare reassignment Care Compare group NPD Authorized official
• Poulin Optometric Eyecare , PLLC

  • Optometrist
  • Camden, NY
  • NPI 1477052223
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1952300824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEADWATERS PLZ",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091300",
            "telephone_number": "315-942-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEADWATERS PLZ",
            "address_2": "ADIRONDACK EYE CARE",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091300",
            "telephone_number": "315-942-2122",
            "fax_number": "315-942-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCI",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1215036405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Reconciliation Center
• Renee Frances Thorp-Sudol, OTR/L
• Sheri Lee Underwood, NP
• Michele Van Dreason, R. PH.
• Vessel: Bodhi Mind and Soul LLC
• Walgreen Co (Walgreens #17776)
• Larissa Wiedmer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.