Individual provider Active NPI

Elvira Lina Santoro, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1992818017
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005670 Issued in NY
Practice address
326 7TH Ave
Brooklyn, NY 11215-4105
Phone
(917) 517-8907
Fax
(718) 832-6488
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005670 NY Primary

Addresses

Primary practice location

326 7TH Ave
Brooklyn, NY 11215-4105

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
02375542MedicaidNY

Other names 1

  • Vira Santoro Other name

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
I20040329000507 NY Practitioner - Optometry 1254223795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005670NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Apr 3, 2017 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Apr 3, 2017 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince May 4, 2024 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince May 4, 2024 Accepting new patients
200 West Optics, LLC Optometrist Current Accepting new patients

Locations

455 86th St
Brooklyn, NY 11209
Phone (646) 222-9510

326 7th Ave
Brooklyn, NY 11215
Phone (718) 832-3513

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: esantoro61756@northwell.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
Group practices
200 West Optics LLC 38 clinicians

Practice addresses (Care Compare)

1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004

326 7TH Ave
Brooklyn, NY 11215-4105
Phone (917) 517-8907

326 TH 7TH Ave
Brooklyn, NY 11215-4105
Phone (917) 517-8907

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1992818017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154105",
            "telephone_number": "917-517-8907",
            "fax_number": "718-832-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "ELVIRA",
        "middle_name": "LINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02375542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRA",
            "last_name": "SANTORO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.