MASSAPEQUA OPTOMETRIC CARE, P.C.
NPI 1073562310
Optometrist in Massapequa, NY

Active since May 05, 2006
532 BROADWAY, MASSAPEQUA, NY 11758(516) 798-2635(516) 798-0896 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Massapequa Optometric Care, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASSAPEQUA OPTOMETRIC CARE, P.C. (NPI 1073562310) is a healthcare organization registered as an optometrist in Massapequa, New York and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Massapequa and lists John A Facchin, President, as its authorized official.

NPPES Registry Identity

NPI1073562310
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMASSAPEQUA OPTOMETRIC CARE, P.C.
Location Address532 BROADWAYMassapequa, NY 11758
Mailing Address532 BroadwayMassapequa, NY 11758-5004 · (516) 798-2635 · Fax (516) 798-0896
Fax(516) 798-0896
Organization SubpartNo
Authorized OfficialJohn A FacchinPresident · (516) 798-2635
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 21, 2019
✔ NPI 1073562310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · VUT005276
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
532 BROADWAY, Massapequa, NY 11758

Secondary Practice Location 1

Location 1111 Grand AveMassapequa, NY 11758-4905 · Phone (516) 798-2635 · Fax (516) 798-0896

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Massapequa Optometric Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Massapequa Optometric Care, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1598714321
532 BROADWAY
Massapequa, NY 11758
(516) 798-2635
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1659336055
111 GRAND AVENUE
Massapequa, NY 11758
(516) 798-2635
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Massapequa Optometric Care, P.C.'s NPI number?

The NPI number for Massapequa Optometric Care, P.C. is 1073562310. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Massapequa Optometric Care, P.C. located?

Massapequa Optometric Care, P.C. is located at 532 Broadway, Massapequa, NY 11758. The listed phone number is (516) 798-2635.

What is Massapequa Optometric Care, P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Massapequa Optometric Care, P.C. enrolled in Medicare?

Yes. Massapequa Optometric Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Massapequa Optometric Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Massapequa Optometric Care, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Massapequa Optometric Care, P.C. was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.