Organization Active NPI

M & W Optometry, PLLC

  • Optometrist
  • Stony Brook, NY
National Provider Identifier
1821883844
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
M & W OPTOMETRY, PLLC
Practice address
1239 N Country Rd Ste 3
Stony Brook, NY 11790-1920
Phone
(516) 376-4161
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Cynthia J Wiener, ODNPI 1063896926
Title
Partner
Phone
(631) 706-0004

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1239 N Country Rd Ste 3
Stony Brook, NY 11790-1920

Mailing address

1239 N Country Rd Ste 3
Stony Brook, NY 11790-1920
Phone (631) 706-0004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915002564 NY Part B Supplier - Clinic/Group Practice 3870096712 Receives reassigned benefits from 2 practitioners
Practice locations: Stony Brook, NY

National Provider Directory

National Provider Directory

Locations

1239 N Country Rd
Ste 3
Stony Brook, NY 11790
Phone (631) 601-6491

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1821883844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 N COUNTRY RD STE 3",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901920",
            "telephone_number": "631-706-0004",
            "fax_number": "631-343-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 N COUNTRY RD STE 3",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901920",
            "telephone_number": "516-376-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & W OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-706-0004",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Nov 11, 2025; 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.