Individual provider Active NPI

Anne Elizabeth Dodgen-Averitt, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1174758924
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007445 Issued in NY
Practice address
298 7TH Ave
Brooklyn, NY 11215-7250
Phone
(718) 768-3939
Fax
(718) 768-3933
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007445 NY Primary

Addresses

Primary practice location

298 7TH Ave
Brooklyn, NY 11215-7250

Mailing address

298 7TH Ave
Brooklyn, NY 11215-7250
Phone (718) 768-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1174758924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157250",
            "telephone_number": "718-768-3939",
            "fax_number": "718-768-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157250",
            "telephone_number": "718-768-3939",
            "fax_number": "718-768-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGEN-AVERITT",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.