Individual provider Active NPI

Matthew Pupparo, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1861845570
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008505 Issued in NY
Practice address
750 Columbus Ave
New York, NY 10025-6464
Phone
(646) 475-0960
Fax
(646) 475-0961
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 008505 NY Primary

Addresses

Primary practice location

750 Columbus Ave
New York, NY 10025-6464

Mailing address

750 Columbus Ave
New York, NY 10025-6464
Phone (646) 475-0960

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
I20161128000270 NY Practitioner - Optometry 8123307642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Columbus Ave
New York, NY 10025-6464
Phone (510) 545-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDP Optometry PC Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Eye Care Medical PC Past Accepting new patients

Locations

750 Columbus Ave
New York, NY 10025
Phone (510) 545-2020

Organizations & group practices 2

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1861845570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256464",
            "telephone_number": "646-475-0960",
            "fax_number": "646-475-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256464",
            "telephone_number": "646-475-0960",
            "fax_number": "646-475-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPPARO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.