Charles Joseph Deluca, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005434-1 Issued in NY

Practice address

2429 Grand Ave
Baldwin, NY 11510-3219

Phone

(516) 223-0528

Fax

(516) 223-0730

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Optometry PCGroup PAC ID 3779766209, 2 clinicians

Practice addresses (Care Compare)

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.

• Baldwin Optometry PC

  • Optometrist
  • Baldwin, NY
  • NPI 1699956037
  Medicare reassignment Care Compare group Authorized official
• PRN Physical Therapy PC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1528096302
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460246400000",
    "number": "1659492452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 PARK PL",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115662812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103219",
            "telephone_number": "516-223-0528",
            "fax_number": "516-223-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005434-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  GROUP MEMBER PTAN",
            "identifier": "A400042587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivylyn Donya Davis-Bell, DDS.
• Martine Debrosse Campbell, SOCIAL WORKER
• Sara Dejkameh
• Elisa E Deligiannis, BS
• Anoopa Sethi Delpeche, M.A.
• Jennifer Lynn Demieri, LMSW
• Nicole Derespiris, LMT
• Ruth Jennifer Desormeau, FNP- BC
• Estefani Devargas, LMSW
• Bernadette M Diangelo, LCSW

• Optometrist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.
• 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.