NPIMap

Organization Active NPI

Eye Vision Associates, LLP

  • Optometrist
  • Nesconset, NY
National Provider Identifier
1982604732
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3794 Issued in NY
Legal business name
EYE VISION ASSOCIATES, LLP
Practice address
271 Smithtown Blvd
Nesconset, NY 11767-2041
Phone
(631) 588-5100
Fax
(631) 588-5185
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Dr. Gwenda Gnadt, ODNPI 1689676728
Title
Partner
Phone
(631) 588-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3794 NY Primary

Addresses

Primary practice location

271 Smithtown Blvd
Nesconset, NY 11767-2041

Mailing address

271 Smithtown Blvd
Nesconset, NY 11767-2041
Phone (631) 588-5100

Other names 1

  • Eye Vision Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000317 NY Part B Supplier - Clinic/Group Practice 3375432511 Receives reassigned benefits from 5 practitioners
Practice locations: Nesconset, NY

National Provider Directory

National Provider Directory

Locations

271 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 588-5100

624 Hawkins Ave
Ste 1
Ronkonkoma, NY 11779
Phone (631) 588-5100

Interoperability endpoints

  • Direct secure messaging: ggnadt@eva.eyefinity-direct.com
  • Direct secure messaging: ktamburro@eva.eyefinity-direct.com
  • Direct secure messaging: tracy.rossi@eva.eyefinity-direct.com
  • Direct secure messaging: kprotosow@eva.eyefinity-direct.com
  • Direct secure messaging: brmeltzer@eva.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1982604732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672041",
            "telephone_number": "631-588-5100",
            "fax_number": "631-588-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672041",
            "telephone_number": "631-588-5100",
            "fax_number": "631-588-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE VISION ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "GNADT",
        "authorized_official_first_name": "GWENDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-588-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.