Individual provider Active NPI

Mary Katherine Conroy, OD

  • Optometrist
  • Ithaca, NY
National Provider Identifier
1982957577
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002657 Issued in PA
Practice address
100 Uptown Rd
Ithaca, NY 14850-1632
Phone
(607) 257-5599
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002657 PA Primary
Optometrist 152W00000X 007959 NY

Addresses

Primary practice location

100 Uptown Rd
Ithaca, NY 14850-1632

Mailing address

1010 Saint Paul St Apt 8B
Baltimore, MD 21202-2955

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131001000007 NY Practitioner - Optometry 3870727050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Robert J. Arleo, MD,PCGroup PAC ID 9638191281, 4 clinicians

Practice addresses (Care Compare)

100 Uptown Rd
Ithaca, NY 14850-1632
Phone (607) 257-5599

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002657PAMDOptometrist
007959NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Arleo, MD,PC CurrentSince Jul 1, 2013 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

100 Uptown Rd
Ithaca, NY 14850
Phone (607) 257-5599

Interoperability endpoints

  • Direct secure messaging: mconroy@arleoeye.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1982957577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SAINT PAUL ST APT 8B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UPTOWN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501632",
            "telephone_number": "607-257-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002657",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.