Individual provider Active NPI

John D Iamele, OD

  • Optometrist
  • Huntington, NY
National Provider Identifier
1275517385
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004906 Issued in NY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1275517385OtherNYINDIVIDUAL NPI
1760539159OtherNYBUSINESS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004906NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sayville Family Eye Care Optometrist PastSince May 14, 2007 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.

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

Verify at the official NPI Registry.