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MISS ANGELA V DUSSAN OD
NPI 1205115474
Optometrist - Corneal and Contact Management in Long Island City, NY

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
1016 50TH AVE, LONG ISLAND CITY, NY 11101(516) 792-6901 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Miss Angela V Dussan Od NPPES

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

MISS ANGELA V DUSSAN OD (NPI 1205115474) is an individual corneal and contact management provider in Long Island City, New York, licensed in New York (007777) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rego Park, and is a graduate of New England College Of Optometry (2010).

NPPES Registry Identity

NPI1205115474
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameMISS ANGELA V DUSSANCredential: OD
Location Address1016 50TH AVELong Island City, NY 11101-6273
Mailing Address1016 50th AveLong Island City, NY 11101-6273 · (516) 792-6901
Phone(516) 792-6901
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2010
Enumeration DateAugust 5, 2011
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
✔ NPI 1205115474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in NY · 007777
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 007777 (NY)
1016 50TH AVE, Long Island City, NY 11101
Open in Google Maps ↗

Secondary Practice Location 1

Location 19721 Queens BlvdRego Park, NY 11374-2103 · Phone (347) 242-3884 · Fax (718) 440-1895

Other Identifiers 1

Medicaid1205115474NY

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

Miss Angela V Dussan Od 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 ID4183866874
PECOS Enrollment IDI20130808000524
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES

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

A DUSSAN SERVICES LLC
Optometrist
1016 50TH AVE
LONG ISLAND CITY, NY 11101
Queens County (516) 792-6901

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 Angela Dussan's NPI number?

The NPI number for Angela Dussan is 1205115474. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Angela Dussan located?

Angela Dussan practices at 1016 50th Ave, Long Island City, NY 11101. The listed phone number is (516) 792-6901.

What is Angela Dussan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Angela Dussan enrolled in Medicare?

Yes. Angela Dussan 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 Angela Dussan 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 Angela Dussan 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 Angela Dussan was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.