Individual provider Active NPI

Elizabeth Ann Sall, O.D.

  • Optometrist
  • East Elmhurst, NY
National Provider Identifier
1306114020
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008538 Issued in NY
Practice address
2123 71St St
3R
East Elmhurst, NY 11370-1000
Phone
(504) 323-4757
NPI assigned
Dec 8, 2011
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6097 OH
Optometrist 152W00000X 3850 MN
Optometrist 152W00000X TUV008538 NY Primary
Optometrist 152W00000X TA2786 MD
Optometrist 152W00000X OEG004197 PA
Optometrist 152W00000X 27OA00671800 NJ

Addresses

Primary practice location

2123 71St St
3R
East Elmhurst, NY 11370-1000

Mailing address

2123 71St St
3R
East Elmhurst, NY 11370-1000
Phone (504) 323-4757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, MN, DC4 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
I20180112000770 NY Practitioner - Optometry 6800155110 Reassigns benefits to 4 organizations
I20221004002823 MD Practitioner - Optometry 6800155110 Reassigns benefits to 1 organization
I20230711002323 MN Practitioner - Optometry 6800155110 Reassigns benefits to 3 organizations
I20231220000043 DC Practitioner - Optometry 6800155110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3850MNMDChiropractor
6097OHMDGeneral Practice Dentistry
27OA00671800NJMDOptometrist
TUV008538NYMDOptometrist
OEG004197PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Dec 19, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
DJ-MN Inc CurrentSince May 26, 2023 Accepting new patients
DJ-MN Inc CurrentSince May 26, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Jan 3, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Royal Optix, Inc CurrentSince Dec 7, 2017 Accepting new patients
Empire Vision Center, Inc CurrentSince Feb 1, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Dec 19, 2025 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Oct 11, 2023 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

7516 3rd Ave
Brooklyn, NY 11209
Phone (718) 836-8600

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

2127 Crompond Rd
Ste 101
Cortlandt Mnr, NY 10567
Phone (914) 737-2020

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1306114020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 71ST ST",
            "address_2": "3R",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701000",
            "telephone_number": "504-323-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 71ST ST",
            "address_2": "3R",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701000",
            "telephone_number": "504-323-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6097",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3850",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008538",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2786",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004197",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00671800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.