SOUTH SHORE OPTOMETRIC ASSOCIATES, PC
NPI 1710936059
Optometrist in Amityville, NY

Q: What is South Shore Optometric Associates, PC's specialty?

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

Active since May 05, 2006

202 BROADWAY, AMITYVILLE, NY 11701(631) 264-3937(631) 598-4496 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About South Shore Optometric Associates, Pc NPPES

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

SOUTH SHORE OPTOMETRIC ASSOCIATES, PC (NPI 1710936059) is a healthcare organization registered as an optometrist in Amityville, New York and active in the NPI registry since May 2006. The organization lists David Lane Leibstein, President, as its authorized official.

NPPES Registry Identity

NPI1710936059

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTH SHORE OPTOMETRIC ASSOCIATES, PC

Location Address202 BROADWAYAmityville, NY 11701-2797

Mailing Address202 BroadwayAmityville, NY 11701-2727 · (631) 264-3937 · Fax (631) 598-4496

Phone(631) 264-3937

Fax(631) 598-4496

Organization SubpartNo

Authorized OfficialDavid Lane LeibsteinPresident · (631) 264-3937

Enumeration DateMay 5, 2006

Last NPPES UpdateMay 24, 2016

✔ NPI 1710936059 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 · TUV005756-1

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.

202 BROADWAY, Amityville, NY 11701

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Other Identifiers 2

Medicaid03196247NY

Medicare UPINCAWKV1NY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Optometric Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Shore Optometric Associates, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

David Leibstein, O.D.

Optometry

NPI 1598714321

532 BROADWAY
Massapequa, NY 11758

(516) 798-2635

✔ PECOS✔ Accepts Medicare2.7 mi

Michael Pittelli, OD

Optometry

NPI 1225192719

532 BROADWAY
Massapequa, NY 11758

(516) 798-2635

✔ PECOS✔ Accepts Medicare2.7 mi

John Facchin, OD

Optometry

NPI 1659336055

111 GRAND AVENUE
Massapequa, NY 11758

(516) 798-2635

✔ PECOS✔ Accepts Medicare3.0 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 South Shore Optometric Associates, PC's NPI number?

The NPI number for South Shore Optometric Associates, PC is 1710936059. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is South Shore Optometric Associates, PC located?

South Shore Optometric Associates, PC is located at 202 Broadway, Amityville, NY 11701. The listed phone number is (631) 264-3937.

What is South Shore Optometric Associates, PC's specialty?

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

Is South Shore Optometric Associates, PC enrolled in Medicare?

Yes. South Shore Optometric Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Optometric Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to South Shore Optometric Associates, PC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Shore Optometric Associates, PC accept?

Health plans from BlueCross BlueShield of Tennessee list South Shore Optometric Associates, PC 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 South Shore Optometric Associates, PC was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.