200 West Optics, LLC
Organization Active NPI Optometrist · Ronkonkoma, NY
NPI 1003743642 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1003743642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 200 WEST OPTICS, LLC
- Practice address
- 388 Hawkins Ave Ste 2
Ronkonkoma, NY 11779-4280 - Phone
- (631) 588-7004
- Fax
- (631) 588-2612
- NPI assigned
- May 7, 2026
- Organization subpart
- No
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (785) 492-5871
Other NPIs on the same Medicare enrollment 25
Corporate family (same tax ID) 26
Practitioners 9
-
Tracy K Brooks, O.D.
-
Michael B. Ditkowsky, O.D.
-
Christopher Gentile, O.D.
-
Valerie Giangrande, O.D.
-
Sherri E Goldstein, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210525000165 | NY | Part B Supplier - Clinic/Group Practice | 5395144380 |
Receives reassigned benefits from 84 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yonkers, NY; Williamsville, NY; Somers, NY; Rockville Centre, NY; Rhinebeck, NY; Plainview, NY; New York, NY; Garden City, NY… |
National Provider Directory
- Tax ID family
- 200 West Optics LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
388 Hawkins Ave Ste 2
Ronkonkoma, NY 11779-4280
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.