Susan Ann Gianfortune, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004910 Issued in NY

Practice address

412 Hempstead Tpke
West Hempstead, NY 11552-1336

Phone

(516) 481-2288

Fax

(516) 481-0127

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1053445965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODRIDGE LN",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791934",
            "telephone_number": "516-801-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HEMPSTEAD TPKE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521336",
            "telephone_number": "516-481-2288",
            "fax_number": "516-481-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFORTUNE",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Genuth, RPAC
• Tawdros Gezaw
• Sunita Ghale
• Minou Ghelechkhani, B.S., RVT
• Teresa M Gherardi, RN
• Albert Giannone, M.D.
• Barbara Gilbert, L.C.S.W.
• Danielle Gill, RD
• Bonnie Renee Giller, MS, RD, CDN, CDE
• Jennifer Giller

• Optometrist in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.