Individual provider Active NPI

Victor Delicce, O.D.

  • Optometrist
  • Seaford, NY
National Provider Identifier
1689875742
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004569 Issued in NY
Practice address
2128 Jackson Ave
Seaford, NY 11783-2606
Phone
(516) 557-4777
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 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 TUV004569 NY Primary

Addresses

Primary practice location

2128 Jackson Ave
Seaford, NY 11783-2606

Mailing address

2128 Jackson Ave
Seaford, NY 11783-2606

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
I20040527001055 NY Practitioner - Optometry 8820079593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004569NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Care Inc CurrentSince Aug 13, 2024 Accepting new patients
Differ Partners, LLC CurrentSince Apr 1, 2021 Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Eyeglass Depot Optical PastSince Apr 1, 2021 Accepting new patients
Elegant Eyewear Inc Optometrist Past Accepting new patients

Locations

60 Willow Park Ctr
Farmingdale, NY 11735
Phone (631) 777-7283

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

Organizations & group practices 6

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1689875742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-557-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELICCE",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.