Individual provider Active NPI

Sonia Valle, O.D.

  • Optometrist
  • Commack, NY
National Provider Identifier
1114908340
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005746 Issued in NY
Practice address
77 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-3410
Phone
(631) 499-8811
Fax
(631) 499-8846
NPI assigned
Nov 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005746 NY Primary

Addresses

Primary practice location

77 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-3410

Mailing address

77 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-3410
Phone (631) 499-8811

Other identifiers 6

IdentifierTypeStateIssuer
C48841OtherNYBLUE CROSS BLUE SHIELD
01783586MedicaidNY
5199710OtherNYAETNA
6599949OtherNYGHI
P809109OtherNYOXFORD
2C5067OtherNYHEALTHNET

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000534 NY Practitioner - Optometry 5294856027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Optometry Vision Care PLLCGroup PAC ID 3678980620, 4 clinicians

Practice addresses (Care Compare)

77 Veterans Hwy
Suite 6
Commack, NY 11725-3410
Phone (631) 499-8811

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005746NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Optometry Vision Care PLLC Optometrist CurrentSince Feb 25, 2021 Accepting new patients

Locations

77 Vets Hwy
Commack, NY 11725
Phone (631) 499-4344

77 Veterans Memorial Hwy
Ste 6
Commack, NY 11725
Phone (631) 499-8811

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1114908340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-8811",
            "fax_number": "631-499-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-8811",
            "fax_number": "631-499-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-05",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C48841",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01783586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5199710",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6599949",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P809109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C5067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.