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

Miss. Angela V Dussan, OD

Individual provider Optometrist · NPI 1205115474

Miss. Angela V Dussan, OD is an Optometry in Long Island City, New York. Graduated from New England College of Optometry in 2010, 16 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
New England College of Optometry
Licensed in
NY
In the registry since
2011
Specialties on file
2
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

1016 50th Ave
Long Island City, NY 11101-6273
Phone: (516) 792-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9721 Queens Blvd, Rego Park, NY 11374-2103 — (347) 242-3884

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 007777 (NY)
Optometrist Taxonomy 152W00000X · Licence 007777 (NY)

Record details

NPI number1205115474
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 5, 2011
Last updated in NPPESAugust 23, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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