Organization Active NPI

Dresoptical Corp

  • Optometrist
  • Smithtown, NY
National Provider Identifier
1598960502
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005652 Issued in NY
Legal business name
DRESOPTICAL CORP
Practice address
2 Miller PL
Smithtown, NY 11787-3608
Phone
(631) 360-3420
Fax
(631) 265-9006
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. Robert Daniel Dondiego, O.D.NPI 1942384755
Title
Optometrist
Phone
(631) 360-3420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT005652 NY Primary

Addresses

Primary practice location

2 Miller PL
Smithtown, NY 11787-3608

Mailing address

2 Miller PL
Smithtown, NY 11787-3608
Phone (631) 360-3420

Other names 1

  • SMITHTOWN OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930049339 NY DME Supplier - Physician - OptometristDME Supplier - Optician 1658260690 Practice locations: Smithtown, NY
O20101206000544 NY Part B Supplier - Clinic/Group Practice 1658260690 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dresoptical Corp2 Miller PL, Smithtown, NY 11787-3608(631) 360-3420 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

2 Miller Pl
Smithtown, NY 11787
Phone (516) 360-3420

Practitioners & affiliated clinicians

Practitioners 2

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1598960502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MILLER PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873608",
            "telephone_number": "631-360-3420",
            "fax_number": "631-265-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MILLER PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873608",
            "telephone_number": "631-360-3420",
            "fax_number": "631-265-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRESOPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "DONDIEGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "631-360-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITHTOWN OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.