Individual provider Active NPI

Lauren Demaria Mileo, MD

  • Ophthalmology Physician
  • Riverhead, NY
National Provider Identifier
1033609110
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
328364 Issued in NY
Practice address
54 Commerce Ave Ste 6
Riverhead, NY 11901-4454
Phone
(855) 295-4144
NPI assigned
May 15, 2018
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 328364 NY Primary

Addresses

Primary practice location

54 Commerce Ave Ste 6
Riverhead, NY 11901-4454

Mailing address

4038 Hillside Dr
Royal Oak, MI 48073-6362
Phone (516) 732-6032

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607002756 NY Practitioner - Ophthalmology 0446583983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

54 Commerce Ave
Suite 6
Riverhead, NY 11901-4454
Phone (631) 265-8780

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jun 1, 2024 Accepting new patients
University Physician Group Ophthalmology PastSince Apr 25, 2022 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

54 Commerce Ave
Ste 6
Riverhead, NY 11901

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ldemaria1231017@epic00.shdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1033609110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 HILLSIDE DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736362",
            "telephone_number": "516-732-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COMMERCE AVE STE 6",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014454",
            "telephone_number": "855-295-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEO",
        "first_name": "LAUREN",
        "middle_name": "DEMARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "328364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.