Organization Active NPI

Long Island Vision Optometry P.C.

  • Optometrist
  • Bay Shore, NY
National Provider Identifier
1548635352
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006556 Issued in NY
Legal business name
LONG ISLAND VISION OPTOMETRY P.C.
Practice address
1701 Sunrise Hwy Unit A5
Bay Shore, NY 11706-6095
Phone
(631) 614-2020
Fax
(631) 665-4702
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. Elena Feldman, O.D.
Title
Optometrist
Phone
(646) 734-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006556 NY Primary

Addresses

Primary practice location

1701 Sunrise Hwy Unit A5
Bay Shore, NY 11706-6095

Mailing address

1701 Sunrise Hwy Unit A5
Bay Shore, NY 11706-6095
Phone (631) 614-2020

Other practice location 1

499 Sunrise Hwy W Ste 80
Patchogue, NY 11772-2290
Phone (631) 289-2010

Other identifiers 1

IdentifierTypeStateIssuer
04358247MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315002039 NY Part B Supplier - Clinic/Group Practice 8729384847 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory
Tax ID family
Long Island Vision Optometry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1548635352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY UNIT A5",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066095",
            "telephone_number": "631-614-2020",
            "fax_number": "631-665-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY UNIT A5",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066095",
            "telephone_number": "631-614-2020",
            "fax_number": "631-665-4702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Sunrise Hwy W Ste 80",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722290",
            "country_code": "US",
            "telephone_number": "631-289-2010",
            "fax_number": "631-289-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND VISION OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "646-734-6367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04358247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.