CONSTADINA MANETTAS OD
NPI 1245845973
Optometrist in Brooklyn, NY

Q: What is Constadina Manettas's NPI number?

The NPI number for Constadina Manettas is 1245845973. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Q: What is Constadina Manettas's specialty?

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

Active since September 10, 2020PECOS Enrolled

1456 FULTON ST, BROOKLYN, NY 11216(718) 636-4500 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2020, Sep 10, 2020 (2 updates tracked since 2020).

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About Constadina Manettas Od NPPES

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

CONSTADINA MANETTAS OD (NPI 1245845973) is an individual optometrist in Brooklyn, New York, licensed in New York (009253) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2020).

NPPES Registry Identity

NPI1245845973

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameCONSTADINA MANETTASCredential: OD

Location Address1456 FULTON STBrooklyn, NY 11216-2505

Mailing Address436 E 116th St Apt 3New York, NY 10029-1618

Phone(718) 636-4500

Sole ProprietorNo

Medical School CMSState University Of New York - State College OptometryGraduated 2020

Enumeration DateSeptember 10, 2020

Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1245845973 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 · 009253

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.

1456 FULTON ST, Brooklyn, NY 11216

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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 Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constadina Manettas Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42621187

PECOS Enrollment IDI20201123000455

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.

Medicare Billing Reassignment

Medicare enrollment records show Constadina Manettas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bedford Stuyvesant Family Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

1456 FULTON ST
Brooklyn, NY 11216

Reassigned Medicare billing, New York enrollment
52 clinicians in this Medicare group

NPI 1033178561 (718) 636-4500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11216 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.

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.

BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))