Individual provider Active NPI

Ani Panoyan, O.D.

  • Optometrist
  • Garden City, NY
National Provider Identifier
1346600624
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008388 Issued in NY
Practice address
200 Garden City Plaza Ste 130
Garden City, NY 11530
Phone
(516) 741-3063
Fax
(516) 741-3137
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008388 NY Primary

Addresses

Primary practice location

200 Garden City Plaza Ste 130
Garden City, NY 11530

Mailing address

200 Garden City Plaza Ste 130
Garden City, NY 11530
Phone (516) 741-3063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260112003671 PA Practitioner - Optometry 9335625086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abraham Eye Associates LLCGroup PAC ID 0941525729, 5 clinicians

Practice addresses (Care Compare)

795 E Lancaster Ave
Suite 3B
Villanova, PA 19085-1533
Phone (484) 380-3864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008388NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham Eye Associates LLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Delaware Valley Vision Associates Group Practice, LLC PastSince Feb 1, 2026 Accepting new patients

Locations

795 E Lancaster Ave
Ste 3B
Villanova, PA 19085
Phone (484) 380-3864

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1346600624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLAZA STE 130",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-741-3063",
            "fax_number": "516-741-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLAZA STE 130",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-741-3063",
            "fax_number": "516-741-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOYAN",
        "first_name": "ANI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.