Individual provider Active NPI

Paula Nutis-Finneran, OD

  • Optometrist
  • Lake Grove, NY
National Provider Identifier
1215993050
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006915-1 Issued in NY
Practice address
2 Smith Haven Mall
Lake Grove, NY 11755-1219
Phone
(631) 360-2108
Fax
(631) 360-2045
NPI assigned
Apr 21, 2006
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006915 NY
Optometrist 152W00000X TUV006915-1 NY Primary

Addresses

Primary practice location

2 Smith Haven Mall
Lake Grove, NY 11755-1219

Mailing address

2 Smith Haven Mall
Lake Grove, NY 11755-1219

Other names 1

  • Dr. Paula Nutis-Finneran Other name

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
I20051201000385 NY Practitioner - Optometry 4082634373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006915NYMDOptometrist
TUV006915-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyellusion Vision Center Incorporated Current Accepting new patients
Eyellusion Vision Center Incorporated CurrentSince Mar 7, 2022 Accepting new patients
Luxottica of America Inc. PastSince Jan 12, 2025 Accepting new patients
Luxottica of America Inc PastSince Jan 12, 2025 Accepting new patients
Flatbush Optical of Starrette City PastSince Aug 1, 2013 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

1441 Old Country Rd
Plainview, NY 11803
Phone (516) 926-9551

6909 Roosevelt Ave
Woodside, NY 11377
Phone (718) 639-1392

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1215993050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551219",
            "telephone_number": "631-360-2108",
            "fax_number": "631-360-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTIS-FINNERAN",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006915",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006915-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "NUTIS-FINNERAN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Grove, NY

Sources for this page

Verify at the official NPI Registry.