Active NPI
Robert Daniel Dondiego, O.D.
- Optometrist
- Smithtown, NY
National Provider Identifier
1942384755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005652
- Practice address
- 2 Miller PL
Smithtown, NY 11787-3608 - Phone
- (631) 360-3420
- NPI assigned
- Oct 25, 2006
- Last updated
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005652 | NY | Primary |
Addresses
Primary practice location
2 Miller PL
Smithtown, NY 11787-3608
Mailing address
2 Miller PL
Smithtown, NY 11787-3608
Phone (631) 360-3420
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Miller PL
Smithtown, NY 11787-3608
Phone (631) 360-3420
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5652 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dresoptical Corp | Optometrist | Current | Accepting new patients |
Locations
2 Miller Pl
Smithtown, NY 11787
Phone (516) 360-3420
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": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1942384755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MILLER PL",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873608",
"telephone_number": "631-360-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MILLER PL",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873608",
"telephone_number": "631-360-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONDIEGO",
"first_name": "ROBERT",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.