Individual provider Active NPI

Cristina Frances Polizzi, O.D.

  • Optometrist
  • Syosset, NY
National Provider Identifier
1346653086
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008127 Issued in NY
Practice address
140 Jackson Ave
Syosset, NY 11791-3802
Phone
(516) 921-3580
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 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 TUV008127 NY Primary

Addresses

Primary practice location

140 Jackson Ave
Syosset, NY 11791-3802

Mailing address

140 Jackson Ave
Syosset, NY 11791-3802
Phone (516) 921-3580

Other practice location 1

733 Manhattan Ave
Brooklyn, NY 11222-7023
Phone (718) 389-6234

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
I20141120001845 NY Practitioner - Optometry 8628290954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syosset Optometric Group,PLLCGroup PAC ID 8123389392, 2 clinicians
Greenpoint Optometric Group PLLCGroup PAC ID 7810258324, 2 clinicians

Practice addresses (Care Compare)

140 Jackson Ave
Syosset, NY 11791-3802
Phone (516) 921-3580

733 Manhattan Ave
Brooklyn, NY 11222-7023
Phone (718) 389-6234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008127NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenpoint Optometric Group, PLLC Optometrist CurrentSince Jan 2, 2018 Accepting new patients
Syosset Optometric Group,PLLC Optometrist CurrentSince Jan 2, 2018 Accepting new patients

Locations

140 Jackson Ave
Syosset, NY 11791
Phone (516) 921-3550

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1346653086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JACKSON AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913802",
            "telephone_number": "516-921-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JACKSON AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913802",
            "telephone_number": "516-921-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Manhattan Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112227023",
            "country_code": "US",
            "telephone_number": "718-389-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIZZI",
        "first_name": "CRISTINA",
        "middle_name": "FRANCES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.