Individual provider Active NPI

Natalia Gabriela Muniz Lugo, OD

  • Optometrist
  • East Hampton, NY
National Provider Identifier
1508675539
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011131 Issued in NY
Practice address
4 Hildreth PL
East Hampton, NY 11937-1844
Phone
(787) 205-6341
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011131 NY Primary

Addresses

Primary practice location

4 Hildreth PL
East Hampton, NY 11937-1844

Mailing address

4 Hildreth PL
East Hampton, NY 11937-1844

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
I20250811003301 NY Practitioner - Optometry 4486152279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Primary Health, LLC CurrentSince Jul 2, 2025 Accepting new patients

Locations

5308 13th Ave
Ste 334
Brooklyn, NY 11219

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

170 Old Country Rd
Riverhead, NY 11901
Phone (631) 208-4460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1508675539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILDRETH PL",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119371844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HILDRETH PL",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119371844",
            "telephone_number": "787-205-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ LUGO",
        "first_name": "NATALIA",
        "middle_name": "GABRIELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

Verify at the official NPI Registry.