Individual provider Active NPI

Robert Daniel Dondiego, O.D.

  • Optometrist
  • Smithtown, NY
National Provider Identifier
1942384755
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005652 Issued in NY
Practice address
2 Miller PL
Smithtown, NY 11787-3608
Phone
(631) 360-3420
NPI assigned
Oct 25, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000954 NY Practitioner - Optometry 6002021722 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5652NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dresoptical Corp Optometrist CurrentSince Jan 1, 1995 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

Verify at the official NPI Registry.