Caryl Sue Castro, OD
Individual provider Active NPI Optometrist · Rocky Point, NY
NPI 1194734137 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194734137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T0053761 (NY)
- Practice address
- 346-78 Route 25a
Davis Vision
Rocky Point, NY 11778 - Phone
- (631) 744-6800
- Fax
- (631) 744-6820
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0053761 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVC of West Islip, LLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T0053761 | NY | Yes |
Addresses
Primary practice location
346-78 Route 25a
Davis Vision
Rocky Point, NY 11778
Mailing address
2921 Erie Blvd East
Syracause, NY 13224
Phone (315) 445-7465
Other names
- Caryl Nadelman Castro
Other providers in Rocky Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.