Elaine Bouras

Primary specialty

OptometristTaxonomy code 152W00000X

License

008902 Issued in NY

Practice address

40 E Main St
Babylon, NY 11702-3508

Phone

(631) 587-2020

NPI assigned

Nov 7, 2018

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elaine Papantoniou Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaclyn Benzoni OD PC

  • Optometrist
  • Merrick, NY
  • NPI 1538617790
  Medicare reassignment NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1871061937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PINE ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023508",
            "telephone_number": "631-587-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURAS",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "PAPANTONIOU",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Blumenthal and Rogers DDS, PC
• Suchitha Bodapati, M.D
• Mary Boghosian, M.A.
• Christine Bonczek, P.T.
• Diane Botto
• James Ernest Bozinos, PSY.D.
• Brian V. Becker M.a.P.T.PLLC (Excel Rehabilitation and Sports Therapy)
• Brightman's Registry Inc
• Charles P Brogan, RPAC
• Donna M. Brown, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.