Individual provider Active NPI

Vera Lettini, OD

  • Optometrist
  • Flushing, NY
National Provider Identifier
1144368598
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0045891 Issued in NY
Practice address
15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Phone
(718) 581-2000
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0045891 NY Primary

Addresses

Primary practice location

15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085

Mailing address

PO Box 37
Roslyn, NY 11576

Other identifiers 1

IdentifierTypeStateIssuer
2044OtherCTSTATE OF CONNECTICUT LICENSE

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
I20070706000111 NY Practitioner - Optometry 6507966488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002044CTMDClinical Social Worker
004589NYMDChiropractor
TUV0045891NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pension Committee Joint Industry Board Past Accepting new patients
Dr Thomas J Deluca and Dr Anthony C Marciano and Associates P C Optometrist Past Accepting new patients
Dr. William E. Kimball and Liann H. Kimball, OD's, Partners Optometrist Past Accepting new patients
Elizabeth Optical Inc Past Accepting new patients

Organizations & group practices 5

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1144368598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-581-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTINI",
        "first_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0045891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT LICENSE",
            "identifier": "2044",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.