Individual provider Active NPI

Jill S Sweig, O.D.

  • Optometrist
  • Oyster Bay, NY
National Provider Identifier
1619058484
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005528 Issued in NY
Practice address
101 South St
Oyster Bay, NY 11771-2213
Phone
(516) 922-0640
Fax
(516) 922-6906
NPI assigned
Oct 18, 2006
Reactivated
Sep 28, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005528 NY Primary

Addresses

Primary practice location

101 South St
Oyster Bay, NY 11771-2213

Mailing address

101 South St
Oyster Bay, NY 11771-2213
Phone (516) 922-0640

Other identifiers 6

IdentifierTypeStateIssuer
6700198OtherNYGHI
159OtherNYDAVIS VISION/ CSEA
912973OtherNYBLOCK VISION
107526POtherNYHIP
02553OtherNYSPECTRA VISION
783991OtherNYAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005528NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doc on the Go Inc CurrentSince Jan 10, 2026 Accepting new patients
Oyster Bay Optics Past Accepting new patients

Locations

21 W Main St
Oyster Bay, NY 11771
Phone (347) 204-5288

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1619058484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712213",
            "telephone_number": "516-922-0640",
            "fax_number": "516-922-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712213",
            "telephone_number": "516-922-0640",
            "fax_number": "516-922-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEIG",
        "first_name": "JILL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-09-28",
        "deactivation_date": "2023-05-17",
        "reactivation_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6700198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION/ CSEA",
            "identifier": "159",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "912973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "107526P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTRA VISION",
            "identifier": "02553",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "783991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.