Individual provider Active NPI

Gail E Correale, O.D.

  • Optometrist
  • Westbury, NY
National Provider Identifier
1619038841
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006373 Issued in NY
Practice address
1600 Stewart Ave
Suite 108
Westbury, NY 11590-6696
Phone
(516) 280-3646
Fax
(516) 783-6550
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006373 NY Primary

Addresses

Primary practice location

1600 Stewart Ave
Suite 108
Westbury, NY 11590-6696

Mailing address

88 Jenkins St
Merrick, NY 11566-1714
Phone (516) 223-1902

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
I20070807000691 NY Practitioner - Optometry 2567553480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Goukler OD PCGroup PAC ID 2769822477, 9 clinicians

Practice addresses (Care Compare)

1600 Stewart Ave
Suite 108
Westbury, NY 11590-6611
Phone (516) 444-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006373NYMDNutritionist
TUV006373NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Goukler, O.D., P.C. Optometrist CurrentSince Mar 12, 2024 Accepting new patients

Locations

266 Delaware Ave
Delmar, NY 12054
Phone (518) 439-3551

1600 Stewart Ave
Ste 108
Westbury, NY 11590
Phone (516) 294-8232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1619038841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JENKINS ST",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661714",
            "telephone_number": "516-223-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE",
            "address_2": "SUITE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906696",
            "telephone_number": "516-280-3646",
            "fax_number": "516-783-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREALE",
        "first_name": "GAIL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.