Individual provider Active NPI

Robert J. Grasso, O.D.

  • Optometrist
  • Sayville, NY
National Provider Identifier
1760577720
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003645 Issued in NY
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

Updated by the provider on May 27, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000101 NY Practitioner - Optometry 5395924377 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
TUV003645NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakdale Vision Center, Inc. Optometrist CurrentSince Jan 20, 1990 Accepting new patients
All About Eyes of Sayville, Inc. Optometrist PastSince Nov 1, 2010 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.

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

Verify at the official NPI Registry.