Individual provider Active NPI

Albert A Marcantonio, OD

  • Optometrist
  • Brentwood, NY
National Provider Identifier
1497040422
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007687 Issued in NY
Practice address
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone
(631) 231-4455
Fax
(631) 434-1728
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007687 NY Primary

Addresses

Primary practice location

601 Suffolk Ave
Brentwood, NY 11717-4309

Mailing address

601 Suffolk Ave
Brentwood, NY 11717-4309
Phone (631) 231-4455

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
I20110711000402 NY Practitioner - Optometry 5193903466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Apr 1, 2014 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

1500 Route 112
Ste C
Port Jefferson Station, NY 11776
Phone (631) 732-9090

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

54 Commerce Ave
Ste 6
Riverhead, NY 11901

153 Main St
Sayville, NY 11782
Phone (631) 244-0300

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

260 E Middle Country Rd
Ste 102
Smithtown, NY 11787

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1497040422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174309",
            "telephone_number": "631-231-4455",
            "fax_number": "631-434-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174309",
            "telephone_number": "631-231-4455",
            "fax_number": "631-434-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONIO",
        "first_name": "ALBERT",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.