Tracy Rossi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008475 Issued in NY

Practice address

624 Hawkins Ave Ste 1
Lake Ronkonkoma, NY 11779-2375

Phone

(631) 588-5100

Fax

(631) 588-5185

NPI assigned

Jun 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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

Jaclyn Benzoni OD PCGroup PAC ID 8527346246, 4 clinicians

Eye Vision Associates LLPGroup PAC ID 3375432511, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.rossi@eva.eyefinity-direct.com

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.

• Eye Vision Associates, LLP

  • Optometrist
  • Nesconset, NY
  • NPI 1982604732
  Medicare reassignment Care Compare group NPD
• Jaclyn Benzoni OD PC

  • Optometrist
  • Merrick, NY
  • NPI 1538617790
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447601729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145315",
            "telephone_number": "516-776-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HAWKINS AVE STE 1",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792375",
            "telephone_number": "631-588-5100",
            "fax_number": "631-588-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "TRACY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc
• Zoe Anna Rivera
• Sabrina Melissa Rivers
• Cynthia Rocco
• Manuel R Rosales, MD
• Allison P Rothstein, PT
• Joan Marie Ryan, LCSW
• Sachem Central School District
• Sachem Central School District
• Sachem Dental Group

• Optometrist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.