Individual provider Active NPI

Deanna M Nus, OD

  • Optometrist
  • Hewlett, NY
National Provider Identifier
1689737645
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007120 Issued in NY
Practice address
9 Dune Rd
Hewlett, NY 11557-2621
Phone
(917) 613-1752
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007120 NY Primary

Addresses

Primary practice location

9 Dune Rd
Hewlett, NY 11557-2621

Mailing address

9 Dune Rd
Hewlett, NY 11557-2621
Phone (917) 613-1752

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
I20080414000459 NY Practitioner - Optometry 3870670920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007120NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Care Inc CurrentSince Oct 1, 2023 Accepting new patients
Vogue Optical LTD CurrentSince Jul 1, 2025 Accepting new patients
Mill Basin Optical Inc Optometrist PastSince May 22, 2022 Accepting new patients
Eiss Optical,Inc Past Accepting new patients
VS Vision Services Inc Past Accepting new patients

Locations

3723 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 646-6200

26 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 589-2267

Organizations & group practices 5

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1689737645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNE RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572621",
            "telephone_number": "917-613-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNE RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572621",
            "telephone_number": "917-613-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUS",
        "first_name": "DEANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.