Individual provider Active NPI

Elina Adaskin, OD

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1407513419
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009494 Issued in NY
Practice address
2655 Richmond Ave Ste 1430
Staten Island, NY 10314-5854
Phone
(718) 698-6666
NPI assigned
Nov 24, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009494 NY Primary

Addresses

Primary practice location

2655 Richmond Ave Ste 1430
Staten Island, NY 10314-5854

Mailing address

486 Dongan Hills Ave
Staten Island, NY 10305-3319
Phone (646) 327-0020

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
I20220601000976 NY Practitioner - Optometry 4082092143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staten Island Vision Eye Care LLCGroup PAC ID 7315200599, 3 clinicians

Practice addresses (Care Compare)

2655 Richmond Ave
Suite 1430
Staten Island, NY 10314-5854
Phone (718) 698-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009494NYMDOptometrist
009494NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Staten Island Vision Eye Care, LLC Optometrist CurrentSince Aug 30, 2024 Accepting new patients

Locations

187 Avenue U
Brooklyn, NY 11223
Phone (718) 373-2020

246 Hylan Blvd
Staten Island, NY 10305

2655 Richmond Ave
Ste 1430
Staten Island, NY 10314
Phone (718) 698-6020

Organizations & group practices 1

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1407513419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053319",
            "telephone_number": "646-327-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RICHMOND AVE STE 1430",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145854",
            "telephone_number": "718-698-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADASKIN",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.