Active NPI
Venessa Lynn Stinvil, O.D.
- Optometrist
- Dix Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005425
- Practice address
- 4 Sagamore LN
Dix Hills, NY 11746-6014 - Phone
- (631) 836-9100
- Fax
- (631) 253-4101
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004477A | IN | |
| Optometrist | 152W00000X | OEG003729 | PA | |
| Optometrist | 152W00000X | TPOP37 | FL | |
| Optometrist | 152W00000X | TUV005425 | NY | Primary |
Addresses
Primary practice location
4 Sagamore LN
Dix Hills, NY 11746-6014
Mailing address
4 Sagamore LN
Dix Hills, NY 11746-6014
Phone (631) 836-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01452753 | Medicaid | NY | |
| 235 | Other | NY | CSEA |
| 51597 | Other | NY | DAVIS VISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000523 | NY | Practitioner - Optometry | 1456254259 |
Reassigns benefits to 4 organizations Practice locations: Brooklyn, NY; Dix Hills, NY |
| I20211118000664 | PA | Practitioner - Optometry | 1456254259 | Reassigns benefits to 2 organizations |
| I20240403000423 | IN | Practitioner - Optometry | 1456254259 | Reassigns benefits to 3 organizations |
| I20251028003431 | FL | Practitioner - Optometry | 1456254259 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1979 Marcus Ave
Suite 206
New Hyde Park, NY 11042-1068
234 Broadway
FL 3
Brooklyn, NY 11211-6203
236 Broadway
Suite 211
Brooklyn, NY 11211-8414
5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPOP37 | FL | MD | Optometrist |
| TUV005425 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Beacon Christian Community Health Center Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Sightrite Medical FL PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Ejmvkk Associates Inc | Optometrist | Current | Accepting new patients |
| Family First Vision Care, PLLC | Optometrist | Current | Accepting new patients |
| Framebar Co LLC | Optometrist | Current | Accepting new patients |
| Pension Committee Joint Industry Board | Past | Accepting new patients | |
| Beacon Christian Community Health Center, Inc. | Past | Accepting new patients | |
| Sap Optical | Optometrist | Past | Accepting new patients |
Locations (25 of 34)
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321
359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011
17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
102 Henry Ave
Plant City, FL 33563
Phone (813) 704-6090
3600 US 27 N
Sebring, FL 33870
Phone (863) 294-5457
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533
5405 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (812) 426-2066
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
3401 Lake Ave
Fort Wayne, IN 46805
Phone (260) 422-6396
506 Wabash Ave
Terre Haute, IN 47807
Phone (812) 232-0073
267 Broadway
Brooklyn, NY 11211
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038
10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2031 Forest Ave
Ste 2
Staten Island, NY 10303
Phone (718) 815-6560
2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Erie, PA
- NPI 1063579837
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1639246358
NY
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1750700902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1285670588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SAGAMORE LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466014",
"telephone_number": "631-836-9100",
"fax_number": "631-253-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SAGAMORE LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466014",
"telephone_number": "631-836-9100",
"fax_number": "631-253-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINVIL",
"first_name": "VENESSA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004477A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003729",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "TPOP37",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01452753",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSEA",
"identifier": "235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "51597",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.