DR. ELYSE M DECKER (NPI# 1992753206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992753206 |
| Entity Type | Individual |
| Full Name | DR. ELYSE M DECKER |
| Credential | O.D. |
| Practice Address |
4101 Bell Blvd Bayside NY 11361-2858 |
| Mailing Address |
911 Midway Woodmere NY 11598-1526 |
| Practice Telephone | 7184286700 |
| Mailing Telephone | 5162952810 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 006919 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02666815 | 05 |
| Street Address |
4101 BELL BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194125468 | Kerinna Molly Mcdonald | Optometrist | 4101 Bell Blvd, Bayside, NY 11361-2858 | 2014-08-24 |
| 1467401539 | Danet Optical Ltd | Optometrist | 4101 Bell Blvd, Bayside, NY 11361-2858 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760939730 | Coopercrwn Ny Corp | Optometrist | 209 39 Northern Blvd, Bayside, NY 11361 | 2016-09-07 |
| 1124257761 | Arthur Chen | Optometrist | 20836 Cross Island Pkwy, Bayside, NY 11360-1187 | 2009-07-02 |
| 1811174709 | Myongwoon Marilyn Yang | Optometrist | 21902 Northern Blvd, Bayside, NY 11361-3574 | 2008-01-23 |
| 1588794093 | M&k Optical Inc. | Optometrist | 3925 Bell Blvd, Bayside, NY 11361-2060 | 2007-03-06 |
| 1477692747 | Jeffrey Seymour Starr | Optometrist | 2 Bay Club Drive, Suite 6y, Bayside, NY 11360-2923 | 2007-02-05 |
| 1134781479 | Ch Optometry LLC | Optometrist | 3925 Bell Blvd, Bayside, NY 11361-2060 | 2019-07-08 |
| 1568023992 | David Wasserlauf Od PC | Optometrist | 20836 Cross Island Pkwy, Bayside, NY 11360-1187 | 2019-06-26 |
| 1992369623 | Eye & I Eyecare LLC | Optometrist | 3925 Bell Blvd, Bayside, NY 11361-2060 | 2019-04-29 |
| 1649834474 | Joseph Han | Optometrist | 3925 Bell Blvd, Bayside, NY 11361-2060 | 2019-04-26 |
| 1679974075 | Foresight Optometry of Ny, PC | Optometrist | 20836 Cross Island Pkwy, 2nd Fl, Bayside, NY 11360-1187 | 2014-09-05 |
| Find all providers in BAYSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.