Vito Proscia Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NYS #VUT005234 Issued in NY

Practice address

1701 Sunrise Hwy
Sears Optical Third Floor
Bay Shore, NY 11706-6091

Phone

(631) 666-5657

Fax

(631) 666-5657

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Luxottica Retail North America Inc

  • Eyewear Supplier
  • Hicksville, NY
  • NPI 1598821720
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578617866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 VILLAGE LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883019",
            "telephone_number": "631-361-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY",
            "address_2": "SEARS OPTICAL THIRD FLOOR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-666-5657",
            "fax_number": "631-666-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSCIA",
        "first_name": "VITO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NYS #VUT005234",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP 2555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Orthopedic and Sports Physical Therapy, PC
• Progress Physical Therapy, PC
• Progressive Oncology, P.C.
• Prohealth Dental PLLC
• Mary Puccio, MD
• Jennifer Puente
• Alexis Pugh
• Pulmonary Home Care Services of Li, Inc.
• Pure DME Inc

• Optometrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.