Concierge Premium Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

008009 Issued in NY

Legal business name

CONCIERGE PREMIUM EYECARE LLC

Doing business as

Astoria Park Eyecare

Practice address

2556 Crescent St
Astoria, NY 11102-2938

Phone

(718) 734-2509

Fax

(718) 425-9803

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Rajat ShettyNPI 1215375241

Title

Doctor

Phone

(718) 344-1272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Astoria Park Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajat Shetty, O.D.

  • Optometrist
  • Astoria, NY
  • NPI 1215375241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1962916940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022938",
            "telephone_number": "718-734-2509",
            "fax_number": "718-425-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022938",
            "telephone_number": "718-734-2509",
            "fax_number": "718-425-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PREMIUM EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-344-1272"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06247570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria Park Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Astoria Park Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole Comas, M.D
• Annie Su Comiskey, PA-C
• Community Healthcare Network, Inc
• Communties Care
• Courtney Conboy
• Peter Condax, M.D.
• Kerstin Connaire, NP
• Andrea Elizabeth Connelly
• Mia Connolly, OTR/L
• Jennifer Consiglio-Gibbons

• Optometrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.