Active NPI
Lisa Cellura
- Optician
- Bay Shore, NY
National Provider Identifier
1992044218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008166-1
- Practice address
- 2 W Main St
Bay Shore, NY 11706-8309 - Phone
- (631) 813-1112
- Fax
- (631) 206-9200
- NPI assigned
- Feb 6, 2013
- Last updated
- Feb 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 008166-1 | NY | Primary |
Addresses
Primary practice location
2 W Main St
Bay Shore, NY 11706-8309
Mailing address
2 W Main St
Bay Shore, NY 11706-8309
Phone (631) 813-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008166-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLJ Spectacles | Past | Accepting new patients | |
| Argyle Optical | Optician | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optician
- Babylon, NY
- NPI 1861732703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1992044218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068309",
"telephone_number": "631-813-1112",
"fax_number": "631-206-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068309",
"telephone_number": "631-813-1112",
"fax_number": "631-206-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLURA",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008166-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.