Organization Active NPI

Cardone Family Optometry, PLLC

  • Optometrist
  • Patchogue, NY
National Provider Identifier
1669610523
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6789 Issued in NY
Legal business name
CARDONE FAMILY OPTOMETRY, PLLC
Practice address
475 E Main St
104
Patchogue, NY 11772-3121
Phone
(631) 654-2020
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Gina Maria CardoneNPI 1134125909
Title
Owner
Phone
(631) 654-2020

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 6789 NY Primary

Addresses

Primary practice location

475 E Main St
104
Patchogue, NY 11772-3121

Mailing address

475 E Main St Ste 104
Patchogue, NY 11772-3121
Phone (631) 654-2020

Other practice location 1

1590 Union Blvd
Bay Shore, NY 11706-7358
Phone (631) 654-2020

Other identifiers 1

IdentifierTypeStateIssuer
03074655MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090609000418 NY Part B Supplier - Clinic/Group Practice 0446300602 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Shore, NY; Patchogue, NY

National Provider Directory

National Provider Directory

Locations

475 E Main St
Ste 104
Patchogue, NY 11772
Phone (631) 654-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1669610523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST STE 104",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "104",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117067358",
            "country_code": "US",
            "telephone_number": "631-654-2020",
            "fax_number": "631-654-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDONE FAMILY OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "CARDONE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-654-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "6789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03074655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.