Active NPI
Edward Deneve, O.D.
- Optometrist
- Bellport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6097TUV
- Practice address
- 5 Bellport LN
Bellport, NY 11713-2705 - Phone
- (631) 286-4014
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6097TUV | NY | Primary |
Addresses
Primary practice location
5 Bellport LN
Bellport, NY 11713-2705
Mailing address
5 Bellport LN
Bellport, NY 11713-2705
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864 | Other | NY | STORE |
| 66599326 | Other | NY | PROVIDER |
| 50593 | Other | NY | PROVIDER |
| 7182561 | Other | NY | PROVIDER |
| V73 | Other | NY | STORE |
| 157939 | Other | NY | PROVIDER |
| 163 | Other | NY | PROVIDER |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070621000626 | NY | Practitioner - Optometry | 0446359012 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 Commack Rd
Suite 2B
Deer Park, NY 11729-4508
Phone (631) 392-0711
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6097TUV | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucien Eyes, Inc. | Optometrist | Current | Accepting new patients |
| Sightrite Inc | Optometrist | Current | Accepting new patients |
| Eye Care Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
Locations
5 Bellport Ln
Bellport, NY 11713
Phone (631) 286-4014
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300
260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Bellport, NY
- NPI 1306969548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114074945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BELLPORT LN",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BELLPORT LN",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132705",
"telephone_number": "631-286-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEVE",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "6097TUV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STORE",
"identifier": "864",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "66599326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "50593",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "7182561",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STORE",
"identifier": "V73",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "157939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "163",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.