Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice Distefano, OD

Individual provider Optometrist · NPI 1235618620

Candice Distefano, OD is an Optometry in Northport, New York. Graduated from State University of New York - State College Optometry in 2018, 8 years ago. Licensed in New York.

Years since qualifying
8
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV008851-1 (NY)

Record details

NPI number1235618620
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address627 Hicksville Rd, Massapequa, NY 11758-1241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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