Organization Active NPI

Dr Vivianis OD, Total Vision Care PLLC

Doing business as Dr Vivianis Total Vision Care

  • Optometrist
  • Melville, NY
National Provider Identifier
1790142131
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005246 Issued in NY
Legal business name
DR VIVIANIS OD, TOTAL VISION CARE PLLC
Doing business as
Dr Vivianis Total Vision Care
Practice address
787 Walt Whitman Rd
Melville, NY 11747-2207
Phone
(631) 271-3443
NPI assigned
Jan 15, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Laraine Viviani, O.D.NPI 1891791679
Title
Owner
Phone
(631) 271-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005246 NY Primary

Addresses

Primary practice location

787 Walt Whitman Rd
Melville, NY 11747-2207

Mailing address

787 Walt Whitman Rd
Melville, NY 11747-2207
Phone (631) 271-3443

Other names 1

  • DR VIVIANIS TOTAL VISION CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000437 NY Part B Supplier - Clinic/Group Practice 0446557292 Receives reassigned benefits from 1 practitioner
Practice locations: Melville, NY

National Provider Directory

National Provider Directory

Locations

787 Walt Whitman Rd
Melville, NY 11747
Phone (631) 271-3443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1790142131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472207",
            "telephone_number": "631-271-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472207",
            "telephone_number": "631-271-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VIVIANIS OD, TOTAL VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "VIVIANI",
        "authorized_official_first_name": "LARAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-3443",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR VIVIANIS TOTAL VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.