Active NPI
Gina Minucci, O.D.
- Corneal and Contact Management Optometrist
- Stony Brook, NY
National Provider Identifier
1760481311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- VUT005345
- Practice address
- 125 Main St
Stony Brook, NY 11790-1911 - Phone
- (631) 751-2801
- Fax
- (631) 751-2832
- NPI assigned
- Jul 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | VUT005345 | NY | Primary |
Addresses
Primary practice location
125 Main St
Stony Brook, NY 11790-1911
Mailing address
125 Main St
Stony Brook, NY 11790-1911
Phone (631) 751-2801
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080715000084 | NY | Practitioner - Optometry | 4486615309 | Practice locations: Sayville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 Greeley Ave
FRNT
Sayville, NY 11782-2605
Phone (631) 589-1850
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005345 | NY | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Opticians Inc | Past | Accepting new patients | |
| Sayville Family Eye Care | Past | Accepting new patients | |
| Echo Ophthalmic Dispensing, PC | Past | Accepting new patients | |
| Rory Bowman OD PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Eyewear Supplier
- Sound Beach, NY
- NPI 1154589166
-
- Optometrist
- Stony Brook, NY
- NPI 1124347729
-
- Optometrist
- Sayville, NY
- NPI 1659539542
-
- Eyewear Supplier
- Stony Brook, NY
- NPI 1588994651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1760481311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MAIN ST",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117901911",
"telephone_number": "631-751-2801",
"fax_number": "631-751-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MAIN ST",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117901911",
"telephone_number": "631-751-2801",
"fax_number": "631-751-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINUCCI",
"first_name": "GINA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-16",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "VUT005345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.