Valley Stream Optometric Services PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0065341 Issued in NY

Legal business name

VALLEY STREAM OPTOMETRIC SERVICES PC

Practice address

5 Sunrise PLZ Ste 101
Valley Stream, NY 11580-6130

Phone

(516) 825-7455

Fax

(516) 825-1494

NPI assigned

May 9, 2016

Last updated

Jan 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksandra A Wianecka, ODNPI 1134164874

Title

President

Phone

(516) 825-7455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: awianecka@valleystreamos.eyefinity-direct.com
• Direct secure messaging: cvissicchio@valleystreamos.eyefinity-direct.com
• Direct secure messaging: kjones@valleystreamos.eyefinity-direct.com
• Direct secure messaging: vsoptometric@valleystreamos.eyefinity-direct.com

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aleksandra A Wianecka, O.D.

  • Optometrist
  • Babylon, NY
  • NPI 1134164874
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey L Jones, OD

  • Optometrist
  • Valley Stream, NY
  • NPI 1316509425
  Medicare reassignment Care Compare group NPD
• Christopher John Vissicchio, OD

  • Optometrist
  • Rockville Centre, NY
  • NPI 1295412526
  Medicare reassignment Care Compare group NPD
• Yuliya Angelova, O.D.

  • Optometrist
  • Valley Stream, NY
  • NPI 1801865852
  Medicare reassignment NPD
• Corinne E Blum, O.D.

  • Optometrist
  • New York, NY
  • NPI 1013321074
  Medicare reassignment NPD
• Brenda Liang, O.D.

  • Optometrist
  • Westbury, NY
  • NPI 1083065692
  Medicare reassignment NPD
• Lauren Sabol, OD

  • Optometrist
  • Garden City, NY
  • NPI 1568195493
  Medicare reassignment NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1083060131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLZ STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-7455",
            "fax_number": "516-825-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLZ STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-7455",
            "fax_number": "516-825-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM OPTOMETRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "WIANECKA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-825-7455",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0065341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Stream Chiropractor PC
• Valley Stream Medical Associates, P.C.
• Valley Stream Medical PC
• Valley Stream Medical Services PC
• Valley Stream Optomerty & Optician PLLC (Howard Eyecare)
• Valley Stream Optometry PLLC (Howard Eyecare)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Physical Therapy, P.C.
• Valley Stream Professional Medical Services, LLC

• Optometrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.