Marissa Cristina Povol, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV-008625 Issued in NY

Practice address

2 W Main Street
Bayshore, NY 11706

Phone

(631) 813-1112

Fax

(631) 206-9200

NPI assigned

Jun 8, 2017

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marissa Christina Koopman Former 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.

• Medical Surgical Eye Care Services PC

  dba The Center For Eye Care and Optical

  • Ophthalmology Physician
  • West Islip, NY
  • NPI 1306863097
  Medicare reassignment NPD
• We Care for Eyes Inc

  • Ophthalmic Technician/Technologist
  • Rego Park, NY
  • NPI 1538405287
  Medicare reassignment NPD
• DLJ Spectacles

  dba Southside Family Vision

  • Optometrist
  • Bay Shore, NY
  • NPI 1629545157
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1922537463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ARGYLE DRIVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-871-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W MAIN STREET",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-813-1112",
            "fax_number": "631-206-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVOL",
        "first_name": "MARISSA",
        "middle_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-008625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "KOOPMAN",
            "middle_name": "CHRISTINA",
            "prefix": "MS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Ponce, L.C.S.W-R
• Justin Kafut Poon, M.D
• Jacqueline Porcelli, LCSW
• Jennifer Port
• Nicholas Posillico, PT
• Mehul Pragani, MD
• Georgette Prawl
• Prefer Tech Inc
• Premiere Cardiology PLLC
• Prestigious Physical Therapy, PC

• Optometrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.