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SUNRISE OPTICAL CORP
NPI 1104244847
Eyewear Supplier in Massapequa, NY

Active since March 31, 2014
2210 SUNRISE MALL, MASSAPEQUA, NY 11758(516) 795-2112(516) 795-2167 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sunrise Optical Corp NPPES

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

SUNRISE OPTICAL CORP (NPI 1104244847) is a healthcare organization registered as an eyewear supplier in Massapequa, New York and active in the NPI registry since March 2014. The organization lists Laura Valentin, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104244847
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSUNRISE OPTICAL CORP
Location Address2210 SUNRISE MALLMassapequa, NY 11758-4348
Mailing Address2210 Sunrise MallMassapequa, NY 11758-4348 · (516) 795-2112 · Fax (516) 795-2167
Phone(516) 795-2112
Fax(516) 795-2167
Organization SubpartNo
Authorized OfficialLaura ValentinCredentialing Manager · (212) 792-8149
Enumeration DateMarch 31, 2014
Last NPPES UpdateJune 18, 2014
✔ NPI 1104244847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2210 SUNRISE MALL, Massapequa, NY 11758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunrise Optical Corp 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 Sunrise Optical Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Yael Gatenio, O.D.
Optometry
NPI 1750462156
2210 SUNRISE MALL
Massapequa, NY 11758
(516) 795-2112
✔ PECOSSame address
Candice Distefano, OD
Optometry
NPI 1235618620
79 MIDDLEVILLE RD
Northport, NY 11768
(631) 261-4400
✔ PECOS16 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 Sunrise Optical Corp's NPI number?

The NPI number for Sunrise Optical Corp is 1104244847. It was assigned to this organization in the NPPES registry on March 31, 2014.

Where is Sunrise Optical Corp located?

Sunrise Optical Corp is located at 2210 Sunrise Mall, Massapequa, NY 11758. The listed phone number is (516) 795-2112.

What is Sunrise Optical Corp's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Sunrise Optical Corp enrolled in Medicare?

Yes. Sunrise Optical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunrise Optical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Sunrise Optical Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sunrise Optical Corp accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sunrise Optical Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunrise Optical Corp was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.