Active NPI
Paula Nutis-Finneran, OD
- Optometrist
- Lake Grove, NY
National Provider Identifier
1215993050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006915-1
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006915 | NY | MD | Optometrist |
| TUV006915-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyellusion Vision Center Incorporated | Current | Accepting new patients | |
| Eyellusion Vision Center Incorporated | Current | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Flatbush Optical of Starrette City | Past | 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.
-
dba eyellusion vision center
- Optician
- Woodside, NY
- NPI 1245261593
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1518412915
-
dba Lenscrafters at Macy's #3228
- Eyewear Supplier
- Lake Grove, NY
- NPI 1316486657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.