Individual provider Active NPI

Maria C. Vellios, OD

  • Optometrist
  • Oakland Gardens, NY
National Provider Identifier
1992902761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006406 Issued in NY
Practice address
21431 51St Ave
Oakland Gardens, NY 11364-1231
Phone
(917) 482-2863
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006406 NY Primary

Addresses

Primary practice location

21431 51St Ave
Oakland Gardens, NY 11364-1231

Mailing address

21431 51St Ave
Oakland Gardens, NY 11364-1231

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006406NYMDOptometrist
006406NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist Past Accepting new patients
Comprehensive Optometry Eye Care Optometrist Past Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Organizations & group practices 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992902761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21431 51ST AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21431 51ST AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641231",
            "telephone_number": "917-482-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLIOS",
        "first_name": "MARIA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.