Active NPI
Robert J. Grasso, O.D.
- Optometrist
- Sayville, NY
National Provider Identifier
1760577720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003645
- Practice address
- 22 S Main St
Sayville, NY 11782-3104 - Phone
- (631) 589-5544
- Fax
- (631) 218-0919
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003645 | NY | Primary |
Addresses
Primary practice location
22 S Main St
Sayville, NY 11782-3104
Mailing address
22 S Main St
Sayville, NY 11782-3104
Phone (631) 589-5544
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 S Main St
Sayville, NY 11782-3104
Phone (631) 589-5544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003645 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakdale Vision Center, Inc. | Optometrist | Current | Accepting new patients |
| All About Eyes of Sayville, Inc. | Optometrist | Past | Accepting new patients |
Locations
22 S Main St
Sayville, NY 11782
Phone (631) 589-5544
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.
-
- Optometrist
- Sayville, NY
- NPI 1841509189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1760577720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S MAIN ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823104",
"telephone_number": "631-589-5544",
"fax_number": "631-218-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S MAIN ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823104",
"telephone_number": "631-589-5544",
"fax_number": "631-218-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSO",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.