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DR. SONIA VALLE O.D.
NPI 1114908340
Optometrist in Commack, NY

Active since November 05, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
77 VETERANS MEMORIAL HWY, SUITE 6, COMMACK, NY 11725(631) 499-8811(631) 499-8846 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sonia Valle O.d. NPPES

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

DR. SONIA VALLE O.D. (NPI 1114908340) is an individual optometrist in Commack, New York, licensed in New York (TUV005746) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114908340
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SONIA VALLECredential: O.D.
Location Address77 VETERANS MEMORIAL HWY, SUITE 6Commack, NY 11725-3410
Mailing Address77 Veterans Memorial Hwy, Suite 6Commack, NY 11725-3410 · (631) 499-8811 · Fax (631) 499-8846
Phone(631) 499-8811
Fax(631) 499-8846
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 5, 2005
Last NPPES UpdateMay 26, 2011
✔ NPI 1114908340 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 · TUV005746
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.
77 VETERANS MEMORIAL HWY, Commack, NY 11725
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Other Identifiers 8

Other5199710NY · Aetna
OtherC48841NY · Blue Cross Blue Shield
Other2C5067NY · Healthnet
Medicaid01783586NY
Medicare PINA400041897NY
Other6599949NY · Ghi
OtherP809109NY · Oxford
Medicare UPINU65373NY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonia Valle O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294856027
PECOS Enrollment IDI20110314000534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
549 services417 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
301 services217 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
228 services222 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
219 services216 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
197 services180 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
180 services149 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA SERON OTR/L
Occupational Therapist
77 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Suffolk County (631) 499-4344
DR. STUART KRIEGER O.D.
Optometrist
77 VETERANS MEMORIAL HWY, SUITE 6
COMMACK, NY 11725
Suffolk County (631) 499-8811
MRS. PATRICIA A. RAMO P.T.
Physical Therapist (Pediatrics)
77 VETERANS MEMORIAL HWY, SUITE 5
COMMACK, NY 11725
Suffolk County (631) 499-4344
DR. STUART PODELL O.D.
Optometrist
77 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Suffolk County (631) 499-8811
DIANE PATRICIA SINGER MAPT
Specialist
77 VETERANS MEMORIAL HWY, SUITE 5
COMMACK, NY 11725
Suffolk County (631) 499-4344
DR. MATTHEW B. SMITH D.D.S.
Dentist (General Practice)
77 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Suffolk County (631) 499-5663
ALAN M BERMAN D.D.S.
Dentist (Periodontics)
77 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Suffolk County (631) 462-0997
MR. KEITH P LARKIN PT
Physical Therapist
77 VETERANS MEMORIAL HWY, SUITE 5
COMMACK, NY 11725
Suffolk County (631) 499-4344

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 Sonia Valle's NPI number?

The NPI number for Sonia Valle is 1114908340. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Where is Sonia Valle located?

Sonia Valle practices at 77 Veterans Memorial Hwy Suite 6, Commack, NY 11725. The listed phone number is (631) 499-8811.

What is Sonia Valle's specialty?

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

Is Sonia Valle enrolled in Medicare?

Yes. Sonia Valle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sonia Valle accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Sonia Valle 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 Sonia Valle was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.