Provider Demographics
NPI:1750366522
Name:CARIRI, JEANINE L (OD)
Entity type:Individual
Prefix:DR
First Name:JEANINE
Middle Name:L
Last Name:CARIRI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6560
Practice Address - Fax:914-682-6469
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0003534-1152W00000X
PAOC005216T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY020181333Medicaid
NYVUT003534OtherHIP
NY133884168OtherBEECH STREET
NY2123494OtherAETNA HMO
NY133884168OtherEMPIRE STATE (NYS)
NY2C6972OtherHEALTH NET
NY6599872OtherGHI PPO
NYP1112334OtherOXFORD
NYC50151OtherBLUE CROSS PPO
NY133884168OtherMULTIPLAN
NY509451OtherPHCS
NY353400OtherCONNECTICARE
NY5895723OtherAETNA NON HMO
NY020181333Medicaid
NY133884168OtherPOMCO
NY410041866OtherRAILROAD MEDICARE
NYP1112334OtherOXFORD
NY133884168OtherBEECH STREET