MOUNT VERNON OPTOMETRY ASSOCIATES, PC
NPI 1407986052
Optometrist in Mount Vernon, NY

Active since March 06, 2007
105 STEVENS AVE, SUITE 203, MOUNT VERNON, NY 10550(914) 668-7442(914) 668-4669 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mount Vernon Optometry Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT VERNON OPTOMETRY ASSOCIATES, PC (NPI 1407986052) is a healthcare organization registered as an optometrist in Mount Vernon, New York and active in the NPI registry since March 2007. The organization lists Garren Craner, President, as its authorized official.

NPPES Registry Identity

NPI1407986052
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOUNT VERNON OPTOMETRY ASSOCIATES, PC
Location Address105 STEVENS AVE, SUITE 203Mount Vernon, NY 10550-2686
Mailing Address105 Stevens Ave, Suite 203Mount Vernon, NY 10550-2686 · (914) 668-7442 · Fax (914) 668-4669
Fax(914) 668-4669
Organization SubpartNo
Authorized OfficialGarren CranerPresident · (914) 668-7442
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407986052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · VUT005690
Definition
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.
105 STEVENS AVE, Mount Vernon, NY 10550

Other Identifiers 1

Medicaid01975713NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mount Vernon Optometry Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111227000567Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mount Vernon Optometry Associates, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1144396128
105 STEVENS AVE SUITE 203
Mount Vernon, NY 10550
(914) 668-7442
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Vernon Optometry Associates, PC's NPI number?

The NPI number for Mount Vernon Optometry Associates, PC is 1407986052. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Mount Vernon Optometry Associates, PC located?

Mount Vernon Optometry Associates, PC is located at 105 Stevens Ave Suite 203, Mount Vernon, NY 10550. The listed phone number is (914) 668-7442.

What is Mount Vernon Optometry Associates, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mount Vernon Optometry Associates, PC enrolled in Medicare?

Yes. Mount Vernon Optometry Associates, PC is registered in the Medicare PECOS enrollment system.

When is Mount Vernon Optometry Associates, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mount Vernon Optometry Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mount Vernon Optometry Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mount Vernon Optometry Associates, PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Mount Vernon Optometry Associates, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mount Vernon Optometry Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.