Individual provider Active NPI

Venessa Lynn Stinvil, O.D.

  • Optometrist
  • Dix Hills, NY
National Provider Identifier
1285670588
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005425 Issued in NY
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01452753MedicaidNY
235OtherNYCSEA
51597OtherNYDAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IN, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TPOP37FLMDOptometrist
TUV005425NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Aug 14, 2021 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 28, 2024 Accepting new patients
Beacon Christian Community Health Center Inc CurrentSince Dec 5, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Aug 14, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 28, 2024 Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Sep 29, 2025 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Apr 11, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 14, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Ejmvkk Associates Inc Optometrist CurrentSince May 15, 2025 Accepting new patients
Family First Vision Care, PLLC Optometrist CurrentSince Nov 18, 2025 Accepting new patients
Framebar Co LLC Optometrist CurrentSince Sep 1, 2025 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.

View all 19

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

Verify at the official NPI Registry.