Individual provider Active NPI

Puneet Rastogi, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1346356185
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA006059000 Issued in NJ
Practice address
6550 Holly Ave NE Ste D1-B
Albuquerque, NM 87113-2162
Phone
(505) 294-3000
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007067 NY
Optometrist 152W00000X 27OA006059000 NJ Primary

Addresses

Primary practice location

6550 Holly Ave NE Ste D1-B
Albuquerque, NM 87113-2162

Mailing address

2033-65 St
Brooklyn, NY 11204
Phone (312) 925-9519

Other practice location 1

1010 2nd Ave
New York, NY 10022-4966
Phone (212) 753-7733

Other identifiers 3

IdentifierTypeStateIssuer
002930341OtherNYUHC
G400010849OtherNYMEDICARE PC PTAN
P3704908OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20121029000029 NM Practitioner - Optometry 8729182373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
27OA006059000NJMDOptometrist
642NMMDPhysical Therapist
007067NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Palace of Newark LLC Past Accepting new patients
National Vision, Inc. Optometrist PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1346356185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033-65 ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "312-925-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 HOLLY AVE NE STE D1-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132162",
            "telephone_number": "505-294-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224966",
            "country_code": "US",
            "telephone_number": "212-753-7733",
            "fax_number": "212-753-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "PUNEET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007067",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA006059000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "002930341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PC PTAN",
            "identifier": "G400010849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3704908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.