Individual provider Active NPI

Michelle Pilipis, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1598078800
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007565 Issued in NY
Practice address
2020 86TH St
Brooklyn, NY 11214-3204
Phone
(347) 873-1206
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007565 NY Primary

Addresses

Primary practice location

2020 86TH St
Brooklyn, NY 11214-3204

Mailing address

2785 West 5 TH Street
Apt 9a
Brooklyn, NY 11224

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
I20120727000513 NY Practitioner - Optometry 7416113907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007565NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt Field Vision Express, LLC CurrentSince Feb 17, 2025 Accepting new patients
General Optometry PC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
General Long Island Eye Care LLC Optometrist Past Accepting new patients

Locations

630 Old Country Rd
Unit 493A
Garden City, NY 11530
Phone (516) 408-5330

Organizations & group practices 3

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1598078800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WEST 5 TH STREET",
            "address_2": "APT 9A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143204",
            "telephone_number": "347-873-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILIPIS",
        "first_name": "MICHELLE",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.