ELTINGVILLE EYE CENTER INC
NPI 1245121680
Optometrist in Staten Island, NY

Q: What is Eltingville Eye Center Inc's NPI number?

The NPI number for Eltingville Eye Center Inc is 1245121680. It was assigned to this organization in the NPPES registry on July 14, 2025.

Q: What is Eltingville Eye Center Inc's specialty?

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

Active since July 14, 2025

4255 AMBOY RD, STATEN ISLAND, NY 10308(347) 764-0472 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eltingville Eye Center Inc NPPES

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

ELTINGVILLE EYE CENTER INC (NPI 1245121680) is a healthcare organization registered as an optometrist in Staten Island, New York and active in the NPI registry since July 2025. The organization lists Anna Marie Fernandez, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1245121680

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameELTINGVILLE EYE CENTER INC

Location Address4255 AMBOY RDStaten Island, NY 10308-2308

Mailing Address4255 Amboy RdStaten Island, NY 10308-2308 · (347) 764-0472

Phone(347) 764-0472

Organization SubpartNo

Authorized OfficialAnna Marie FernandezOptometrist · (347) 764-0472

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1245121680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

4255 AMBOY RD, Staten Island, NY 10308

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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)

Eltingville Eye Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eltingville Eye Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anna Marie Fernandez, OD

Optometry

NPI 1619089794

2655 RICHMOND AVE STE 114
Staten Island, NY 10314

(718) 761-5607

✔ PECOS✔ Accepts Medicare2.4 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 Eltingville Eye Center Inc's NPI number?

The NPI number for Eltingville Eye Center Inc is 1245121680. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Eltingville Eye Center Inc located?

Eltingville Eye Center Inc is located at 4255 Amboy Rd, Staten Island, NY 10308. The listed phone number is (347) 764-0472.

What is Eltingville Eye Center Inc's specialty?

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

Is Eltingville Eye Center Inc enrolled in Medicare?

Yes. Eltingville Eye Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eltingville Eye Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eltingville Eye Center Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eltingville Eye Center Inc was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.