Individual provider Active NPI

Alison Evert, O.D.

  • Optometrist
  • East Hampton, NY
National Provider Identifier
1518349844
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008296 Issued in NY
Practice address
10 Main St
East Hampton, NY 11937-2786
Phone
(631) 324-5441
NPI assigned
Jun 23, 2015
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008296 NY Primary

Addresses

Primary practice location

10 Main St
East Hampton, NY 11937-2786

Mailing address

188 Bellevue Rd
Oakdale, NY 11769-2105
Phone (631) 278-5700

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
I20200227002498 NY Practitioner - Optometry 7214364496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Optometry Vision Care PLLCGroup PAC ID 3678980620, 4 clinicians

Practice addresses (Care Compare)

77 Veterans Hwy
Suite 6
Commack, NY 11725-3410
Phone (631) 499-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Optometry Vision Care PLLC Optometrist CurrentSince Feb 25, 2021 Accepting new patients

Locations

77 Veterans Memorial Hwy
Ste 6
Commack, NY 11725
Phone (631) 499-8811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1518349844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BELLEVUE RD",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692105",
            "telephone_number": "631-278-5700",
            "fax_number": "631-499-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372786",
            "telephone_number": "631-324-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERT",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

Verify at the official NPI Registry.