Eltingville Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELTINGVILLE EYE CENTER INC

Practice address

4255 Amboy Rd
Staten Island, NY 10308-2308

Phone

(347) 764-0472

NPI assigned

Jul 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Anna Marie Fernandez, ODNPI 1619089794

Title

Optometrist

Phone

(347) 764-0472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Marie Fernandez, OD

  • Optometrist
  • Staten Island, NY
  • NPI 1619089794
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1245121680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082308",
            "telephone_number": "347-764-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082308",
            "telephone_number": "347-764-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELTINGVILLE EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-764-0472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adham H Elshair
• Mirna Ayman Elsheemy
• Mona Elsheemy, PHARM D
• Mostafa Elsheikh, MD
• Hamsa Elsyied
• Hesham Elwakil, PT
• Ahmed Hussien Elwany
• Mahmoud W Elzayat
• Waleed Ahmed Elzayat, PT,DPT,CCI
• Olena Emelina, SP.ED.

• Optometrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.