DR. DARREN MARC WALLIS (NPI# 1356485593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356485593 |
| Entity Type | Individual |
| Full Name | DR. DARREN MARC WALLIS |
| Credential | O.D. |
| Practice Address |
150 Broadway New York NY 10038-4381 |
| Mailing Address |
9 Ledgewood Commons Millwood NY 10546-1025 |
| Practice Telephone | 2122332344 |
| Mailing Telephone | 9147627123 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 005966 | NY | Eye and Vision Services Providers |
| Street Address |
150 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241162 | Tam Medical LLC | Physical Therapist | 150 Broadway, New York, NY 10038-4381 | 2019-12-05 |
| 1619483633 | Joshua Lipsman Md Pllc | Preventive Medicine | 150 Broadway, 1213, New York, NY 10038-4381 | 2017-12-28 |
| 1568902054 | Virali Patel | Physician Assistant | 150 Broadway, Suite Number 1702, New York, NY 10038-4381 | 2017-03-02 |
| 1366986028 | Mylinh Phuong Ha | Nurse Practitioner | 150 Broadway, #1115, New York, NY 10038-4381 | 2016-12-14 |
| 1528519170 | Jagpreet Kaur | Massage Therapist | 150 Broadway, Suite 1115, New York, NY 10038-4381 | 2016-10-19 |
| 1205227543 | Jill Sealee | Acupuncturist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2015-02-09 |
| 1194133991 | Dawn Hardin | Specialist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2014-07-24 |
| 1184043937 | Nancy J. Hoffer Ph.d, Psychologist, PC | Psychologist | 150 Broadway, Suite 2206, New York, NY 10038-4381 | 2014-04-09 |
| 1114265345 | Rhyna Mosquera | Behavioral Analyst | 150 Broadway, New York, NY 10038-4381 | 2013-01-23 |
| 1568724722 | Jose R Martinez | Specialist | 150 Broadway, Suite 1701, New York, NY 10038-4381 | 2012-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1437767167 | Irene Byun | Optometrist | 183 Mott St Apt 5c, New York, NY 10012-4597 | 2020-07-20 |
| 1841814043 | Zhongyue Hu | Optometrist | 33 W 42nd St Rm 1128, New York, NY 10036-8005 | 2020-06-03 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1609429414 | Satija Vision Care Optometry, P.C. | Optometrist | 404 E 117th St Fl 1, New York, NY 10035-5020 | 2019-07-21 |
| 1053973826 | Tara M. Mahvelati | Optometrist | 33 W 42nd St - Suny College of Optometry, New York, NY 10036-8005 | 2019-07-02 |
| 1003476870 | Matthew C Burke | Optometrist | 110 E 40th St Fl 6, New York, NY 10016-1801 | 2019-06-14 |
| 1982263265 | Mina Chen | Optometrist | 345 W 58th St Apt 2b, New York, NY 10019-1130 | 2019-06-10 |
| 1679031413 | West Side Eye Specs LLC | Optometrist | 2165 Broadway, New York, NY 10024-6603 | 2019-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.