Active NPI
Michael Pittelli, OD
- Optometrist
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6251
- Practice address
- 532 Broadway
Massapequa, NY 11758-5004 - Phone
- (516) 798-2635
- NPI assigned
- Dec 20, 2006
- Last updated
- Jun 2, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 6251 | NY | Primary |
| Optometrist | 152W00000X | 1337 | AZ |
Addresses
Primary practice location
532 Broadway
Massapequa, NY 11758-5004
Mailing address
532 Broadway
Massapequa, NY 11758-5004
Phone (516) 798-2635
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 200 West Optics LLC
Practice addresses (Care Compare)
1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004
532 Broadway
Massapequa, NY 11758-5004
Phone (516) 798-2635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1337 | AZ | MD | Optometrist |
| 6251 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Optometric Associates, PC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Tom Sowash OD & Associates PC | Optometrist | Past | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients | |
| 200 West Optics, LLC | Optometrist | Past | Accepting new patients |
Locations
202 Broadway
Amityville, NY 11701
Phone (631) 264-3937
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
Organizations & group practices 6
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.
-
- Optometrist
- Amityville, NY
- NPI 1710936059
-
- Optometrist
- Amityville, NY
- NPI 1346186970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1225192719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585004",
"telephone_number": "516-798-2635",
"fax_number": "631-598-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585004",
"telephone_number": "516-798-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTELLI",
"first_name": "MICHAEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "6251",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.