Individual provider Active NPI

Erica Meltzer, OD

  • Optometrist
  • Great Neck, NY
National Provider Identifier
1306572672
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009624 Issued in NY
Practice address
80 Middle Neck Rd
Great Neck, NY 11021-1243
Phone
(516) 487-3074
Fax
(516) 487-2581
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009624 NY Primary

Addresses

Primary practice location

80 Middle Neck Rd
Great Neck, NY 11021-1243

Mailing address

2978 Hewlett Ave
Merrick, NY 11566-5311
Phone (516) 779-9939

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
I20230111002613 NY Practitioner - Optometry 7618347436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009624NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Central Optical Co Inc Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Gary Tracy, OD P.C. Optometrist CurrentSince Dec 5, 2022 Accepting new patients
Epic Medical Group,Inc Past Accepting new patients
Krystal Klear Optical Inc. Optometrist PastSince Sep 25, 2017 Accepting new patients

Locations

62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220

342 Madison Ave
New York, NY 10173
Phone (212) 599-1220

369 Madison Ave
New York, NY 10017
Phone (212) 599-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1306572672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 HEWLETT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665311",
            "telephone_number": "516-779-9939",
            "fax_number": "516-487-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211243",
            "telephone_number": "516-487-3074",
            "fax_number": "516-487-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.