Active NPI
Vicente Emmanuel Luzon, O.D.
- Optometrist
- Glenmont, NY
National Provider Identifier
1952424772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV-007006-1
- Practice address
- 311 Route 9W
Glenmont, NY 12077-2909 - Phone
- (518) 432-0363
- NPI assigned
- Apr 8, 2007
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV-007006-1 | NY | Primary |
Addresses
Primary practice location
311 Route 9W
Glenmont, NY 12077-2909
Mailing address
311 Route 9W
Glenmont, NY 12077-2909
Phone (518) 432-0363
Other practice location 1
8075 Mall Pkwy Ste 103
Lithonia, GA 30038-6993
Phone (770) 484-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV-007006-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Lithonia, GA
- NPI 1427089978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1952424772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ROUTE 9W",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772909",
"telephone_number": "518-432-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ROUTE 9W",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772909",
"telephone_number": "518-432-0363"
}
],
"practiceLocations": [
{
"address_1": "8075 Mall Pkwy Ste 103",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300386993",
"country_code": "US",
"telephone_number": "770-484-2955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUZON",
"first_name": "VICENTE",
"middle_name": "EMMANUEL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV-007006-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.