Individual provider Active NPI

Alice Hart, O.D.

  • Optometrist
  • Melville, NY
National Provider Identifier
1760812143
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008028 Issued in NY
Practice address
400 S Service Rd
Melville, NY 11747-3316
Phone
(631) 439-3000
NPI assigned
Nov 20, 2013
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008028 NY Primary

Addresses

Primary practice location

400 S Service Rd
Melville, NY 11747-3316

Mailing address

133 Village Hill Dr
Dix Hills, NY 11746-8335
Phone (516) 659-9609

Other identifiers 1

IdentifierTypeStateIssuer
04078084MedicaidNY

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
I20221123001844 NY Practitioner - Optometry 7113395146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Vision LTDGroup PAC ID 6103235445, 3 clinicians

Practice addresses (Care Compare)

4644 Merrick Rd
Massapequa, NY 11758-6030
Phone (516) 900-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008028NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Vision LTD CurrentSince Oct 13, 2022 Accepting new patients
Star Specs of Nyc Inc CurrentSince Nov 5, 2024 Accepting new patients

Locations

4644 Merrick Rd
Massapequa, NY 11758
Phone (516) 860-6659

106 E 23rd St
New York, NY 10010
Phone (212) 677-3707

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, 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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1760812143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 VILLAGE HILL DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468335",
            "telephone_number": "516-659-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SERVICE RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473316",
            "telephone_number": "631-439-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04078084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.