Individual provider Active NPI

Lori Landrio

  • Optometrist
  • Patchogue, NY
National Provider Identifier
1669579454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005873 Issued in NY
Practice address
331 E Main St
Patchogue, NY 11772-3114
Phone
(631) 758-5300
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005873 NY Primary

Addresses

Primary practice location

331 E Main St
Patchogue, NY 11772-3114

Mailing address

25 White Birch Dr
Dix Hills, NY 11746-7719
Phone (631) 423-0416

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
I20070604000440 NY Practitioner - Optometry 9032217724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision for Life CorpGroup PAC ID 5294794202, 3 clinicians

Practice addresses (Care Compare)

66 Deer Park Ave
Babylon, NY 11702-2802
Phone (631) 789-6103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005873NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision for Life Corp Optometrist CurrentSince May 26, 2025 Accepting new patients
Long Island Behavioral Medicine PC Past Accepting new patients

Locations

66 Deer Park Ave
Babylon, NY 11702
Phone (631) 669-3757

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669579454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHITE BIRCH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467719",
            "telephone_number": "631-423-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-758-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIO",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.