1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Ophthalmology
  6. NPI Profile

SAMUEL LESTER GUILLORY MD
NPI 1659433647
Ophthalmology in New York, NY

Active since December 15, 2006Opted out of Medicare · through Jul 1, 2027
1103 PARK AVENUE, NEW YORK, NY 10128(212) 860-5400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Lester Guillory Md NPPES

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

SAMUEL LESTER GUILLORY MD (NPI 1659433647) is an individual ophthalmology provider in New York, New York, licensed in New York (127306) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659433647
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSAMUEL LESTER GUILLORYCredential: MD
Location Address1103 PARK AVENUENew York, NY 10128
Mailing Address200 E 89th St, Apt. 35cNew York, NY 10128-4300 · (212) 860-5400
Phone(212) 860-5400
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659433647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 127306
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1103 PARK AVENUE, New York, NY 10128
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Samuel L Guillory Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel Lester Guillory Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Samuel Guillory's NPI number?

The NPI number for Samuel Guillory is 1659433647. It was assigned to this individual provider in the NPPES registry on December 15, 2006. The provider is also known as Dr. Samuel L Guillory MD.

Where is Samuel Guillory located?

Samuel Guillory practices at 1103 Park Avenue, New York, NY 10128. The listed phone number is (212) 860-5400.

What is Samuel Guillory's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Samuel Guillory enrolled in Medicare?

No. Samuel Guillory has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Samuel Guillory was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.