Elisa F. De Junco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T004987 Issued in NY

Practice address

708 Seabury Ave
Franklin Square, NY 11010-4112

Phone

(516) 538-6083

NPI assigned

Aug 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Esad Optical, Inc

  • Optometrist
  • East Norwich, NY
  • NPI 1194226886
  NPD Authorized official
• Metro Optics Throgs Neck Inc

  • Optometrist
  • Bronx, NY
  • NPI 1477957322
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1154512754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HUTCHINSON RIVER PKWY",
            "address_2": "STE 797",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651883",
            "telephone_number": "718-569-5680",
            "fax_number": "718-892-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SEABURY AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104112",
            "telephone_number": "516-538-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JUNCO",
        "first_name": "ELISA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dangelo, P.T.
• Darbys Home Health Care Service Inc.
• Gabriella Davidson, PT,DPT
• Julian Scott Davis, DPM
• Murtaza Dawoodbhai, RPH
• Michael Debaz, PHARM.D
• Kaitlin Deegan, PT,DPT
• Laura Delabastide
• Devon Delarosa
• Anthony Della Rocca

• All providers in Franklin Square, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.