Active NPI
John D Iamele, OD
- Optometrist
- Huntington, NY
National Provider Identifier
1275517385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT004906
- Practice address
- 164 E Main St
Huntington, NY 11743-2955 - Phone
- (631) 385-2020
- Fax
- (631) 385-5688
- NPI assigned
- Dec 1, 2005
- Last updated
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT004906 | NY | Primary |
Addresses
Primary practice location
164 E Main St
Huntington, NY 11743-2955
Mailing address
164 E Main St
Huntington, NY 11743-2955
Phone (631) 385-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275517385 | Other | NY | INDIVIDUAL NPI |
| 1760539159 | Other | NY | BUSINESS NPI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000321 | NY | Practitioner - Optometry | 2365564820 | Practice locations: Sayville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Greeley Ave
Suite a
Sayville, NY 11782-2605
Phone (631) 589-1850
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT004906 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sayville Family Eye Care | Optometrist | Past | Accepting new patients |
| Dr. John D. Iamele OD PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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
- Huntington, NY
- NPI 1760539159
-
- Optometrist
- Sayville, NY
- NPI 1659539542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1275517385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432955",
"telephone_number": "631-385-2020",
"fax_number": "631-385-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432955",
"telephone_number": "631-385-2020",
"fax_number": "631-385-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IAMELE",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT004906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1275517385",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS NPI",
"identifier": "1760539159",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.