Individual provider Active NPI

Allyson Leona Roytburd

  • Optometrist
  • Hewlett, NY
National Provider Identifier
1831076058
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011272 Issued in NY
Practice address
1570 Stevenson Rd
Hewlett, NY 11557-1738
Phone
(347) 816-0014
NPI assigned
Aug 19, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011272 NY Primary

Addresses

Primary practice location

1570 Stevenson Rd
Hewlett, NY 11557-1738

Mailing address

1570 Stevenson Rd
Hewlett, NY 11557-1738

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
I20251014003490 NY Practitioner - Optometry 5496242398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Primary Eye Care Optometry LLPGroup PAC ID 5799061875, 3 clinicians

Practice addresses (Care Compare)

136 E 57TH St
Suite 1502
New York, NY 10022-2780
Phone (212) 688-0618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011272NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye Care Optometry, LLP CurrentSince Sep 1, 2025 Accepting new patients

Locations

136 E 57th St
Ste 1502
New York, NY 10022
Phone (212) 288-0618

Organizations & group practices 1

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1831076058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 STEVENSON RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 STEVENSON RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571738",
            "telephone_number": "347-816-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTBURD",
        "first_name": "ALLYSON",
        "middle_name": "LEONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.