Individual provider Active NPI

Luana Livia Menezes, O.D.

  • Optometrist
  • Astoria, NY
National Provider Identifier
1194013946
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007743 Issued in NY
Practice address
3080 21St St
Astoria, NY 11102-4242
Phone
(718) 873-9550
Fax
(718) 228-4591
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 007743 NY Primary

Addresses

Primary practice location

3080 21St St
Astoria, NY 11102-4242

Mailing address

3080 21St St
Astoria, NY 11102-4242
Phone (718) 873-9550

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
I20111004000196 NY Practitioner - Optometry 4587836192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Sunrx Optical IncGroup PAC ID 8921056094, 2 clinicians

Practice addresses (Care Compare)

764 Manhattan Ave
Brooklyn, NY 11222-2967
Phone (718) 349-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrx Optical Inc CurrentSince Jan 1, 2016 Accepting new patients

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1194013946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "LUANA",
        "middle_name": "LIVIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.