Active NPI
Tina Marie Marengo
- Optician
- Huntington Station, NY
National Provider Identifier
1871475426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 010287
- Practice address
- 350 Walt Whitman Rd Unit 3
Huntington Station, NY 11746-8701 - Phone
- (631) 549-0272
- NPI assigned
- Jul 24, 2025
- Last updated
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 010287 | NY | Primary |
Addresses
Primary practice location
350 Walt Whitman Rd Unit 3
Huntington Station, NY 11746-8701
Mailing address
350 Walt Whitman Rd Unit 3
Huntington Station, NY 11746-8701
Phone (631) 549-0272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010287 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Past | Accepting new patients |
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": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1871475426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 WALT WHITMAN RD UNIT 3",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117468701",
"telephone_number": "631-549-0272",
"fax_number": "631-549-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 WALT WHITMAN RD UNIT 3",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117468701",
"telephone_number": "631-549-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARENGO",
"first_name": "TINA MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "010287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.