Active NPI
Pooja Berdia, OD
- Optometrist
- Shoreham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008790
- Practice address
- 8 Willimatic CT
Shoreham, NY 11786-2018 - Phone
- (631) 335-7250
- NPI assigned
- Aug 2, 2018
- Last updated
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008790 | NY | Primary |
Addresses
Primary practice location
8 Willimatic CT
Shoreham, NY 11786-2018
Mailing address
999 Corporate Dr
Westbury, NY 11590-6614
Phone (516) 493-4410
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
999 Corporate Dr
Westbury, NY 11590-6614
Phone (516) 493-4410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008790 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Apple Optometry, PC | Optometrist | Current | Accepting new patients |
| Sight Medical Doctors PLLC | Current | Accepting new patients | |
| Sight Medical Doctors PLLC | Current | Accepting new patients | |
| Isaac Reich MD Ca a Professional Corporation | Past | Accepting new patients |
Locations
125 Kennedy Dr
Ste 400
Hauppauge, NY 11788
260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150
999 Corporate Dr
Westbury, NY 11590
Phone (516) 222-8841
Organizations & group practices 4
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.
-
- Optometrist
- Westbury, NY
- NPI 1437831229
-
- Ophthalmology Physician
- Hauppauge, NY
- NPI 1487077483
-
dba SightMD NY
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
- NPI 1730040700
-
dba Remedian Healthcare
- Ophthalmology Physician
- North Hollywood, CA
- NPI 1922729045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1467930370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 CORPORATE DR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906614",
"telephone_number": "516-493-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WILLIMATIC CT",
"city": "SHOREHAM",
"state": "NY",
"postal_code": "117862018",
"telephone_number": "631-335-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDIA",
"first_name": "POOJA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.