Individual provider Active NPI

Dorothy Anne Ewald, O.D.

  • Optometrist
  • Hempstead, NY
National Provider Identifier
1508937160
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005314 Issued in NY
Practice address
216A Fulton Ave
Hempstead, NY 11550-3705
Phone
(516) 538-3200
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 VUT005314 NY Primary

Addresses

Primary practice location

216A Fulton Ave
Hempstead, NY 11550-3705

Mailing address

Metrovision Optical
216A Fulton Avenue
Hempstead,, NY 11550
Phone (516) 538-3200

Other practice location 1

12430 Queens Blvd
Kew Gardens, NY 11415-1501
Phone (718) 261-2344

Other identifiers 1

IdentifierTypeStateIssuer
01447103MedicaidNY

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
I20160928001596 NY Practitioner - Optometry 2365739711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12430 Queens Blvd
Kew Gardens, NY 11415-1501
Phone (718) 261-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005314NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrixx Optics LTD Optometrist CurrentSince Jun 13, 2023 Accepting new patients
Omega Optical Inc CurrentSince Aug 4, 2016 Accepting new patients
Lens Express Optical, Inc CurrentSince Jul 21, 2019 Accepting new patients
Ejmvkk Associates Inc Optometrist PastSince Oct 10, 2021 Accepting new patients
Sap Optical Optometrist Past Accepting new patients
Rapna Optical Inc. Past Accepting new patients
Jewel Optical Inc. Optometrist PastSince Jul 1, 2023 Accepting new patients

Locations

216A Fulton Ave
Hempstead, NY 11550
Phone (516) 538-3200

12430 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 261-2344

9102 63rd Dr
Rego Park, NY 11374
Phone (718) 897-5101

Organizations & group practices 7

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1508937160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "METROVISION OPTICAL",
            "address_2": "216A FULTON AVENUE",
            "city": "HEMPSTEAD,",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-538-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216A FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503705",
            "telephone_number": "516-538-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12430 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114151501",
            "country_code": "US",
            "telephone_number": "718-261-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWALD",
        "first_name": "DOROTHY",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01447103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.