Individual provider Active NPI

Laraine Linda Viviani, OD

  • Optometrist
  • Melville, NY
National Provider Identifier
1891791679
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0005246 Issued in NY
Practice address
787 Walt Whitman Rd
Melville, NY 11747-2207
Phone
(631) 271-3443
NPI assigned
Jun 25, 2005
Reactivated
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0005246 NY Primary

Addresses

Primary practice location

787 Walt Whitman Rd
Melville, NY 11747-2207

Mailing address

787 Walt Whitman Rd
Melville, NY 11747-2207
Phone (631) 271-3443

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
I20110617000468 NY Practitioner - Optometry 4789862939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

787 Walt Whitman Rd
Melville, NY 11747-2207
Phone (631) 271-3443

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0005246NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Vivianis OD, Total Vision Care PLLC Optometrist CurrentSince Dec 20, 2015 Accepting new patients

Locations

787 Walt Whitman Rd
Melville, NY 11747
Phone (631) 271-3443

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1891791679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472207",
            "telephone_number": "631-271-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472207",
            "telephone_number": "631-271-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANI",
        "first_name": "LARAINE",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-25",
        "last_updated": "2011-10-27",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "0005246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.