Individual provider Active NPI

Sarin Siriamonthep, OD

  • Optometrist
  • Wantagh, NY
National Provider Identifier
1336694843
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008473 Issued in NY
Practice address
2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone
(516) 785-3900
Fax
(516) 541-4250
NPI assigned
Aug 25, 2016
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008473 NY Primary

Addresses

Primary practice location

2185 Wantagh Ave
Wantagh, NY 11793-3917

Mailing address

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 712-5966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170728001892 CT Practitioner - Optometry 1951672641
I20200402002439 NY Practitioner - Optometry 1951672641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Eye Care LLPGroup PAC ID 4880585967, 9 clinicians

Practice addresses (Care Compare)

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008473NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
South Shore Eye Care, LLP CurrentSince Jan 1, 2021 Accepting new patients

Locations

4300 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 210-8200

300 Community Dr
Manhasset, NY 11030

2185 Wantagh Ave
Wantagh, NY 11793
Phone (516) 783-3900

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: ssiriamonthep@southshoreeyecare.direct.eyemdemr.com

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1336694843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-712-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-541-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIAMONTHEP",
        "first_name": "SARIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.