Oakdale Vision Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003645 Issued in NY

Legal business name

OAKDALE VISION CENTER, INC.

Practice address

22 S Main St
Sayville, NY 11782-3104

Phone

(631) 689-7607

Fax

(631) 218-0919

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Grasso, O.D.NPI 1760577720

Title

Optometrist

Phone

(631) 689-7607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Robert J. Grasso, O.D.

  • Optometrist
  • Sayville, NY
  • NPI 1760577720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1841509189",
    "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": "631-689-7607",
            "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": "631-689-7607",
            "fax_number": "631-218-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "631-689-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Nierenberg, MSED
• Jamie O'Connor
• Thomas J. O'Connor, D.D.S.
• Anne Marie O'Donnell, RN
• Danielle O'Rourke, RN
• Laurie Odonoghue
• Seline Danielle Olgun, LMSW
• One on One Medical Care, P.C.
• Optika Eyes LTD
• Casey Ottens

• Optometrist in Sayville, NY
• Providers in Sayville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.