Active NPI
Leslie R. Kolker, O.D.
- Optometrist
- New Hyde Park, NY
National Provider Identifier
1003992603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T 004430
- Practice address
- 2001 Marcus Ave
Suite 286 West
New Hyde Park, NY 11042-1011 - Phone
- (516) 328-1800
- Fax
- (516) 358-2329
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T 004430 | NY | Primary |
Addresses
Primary practice location
2001 Marcus Ave
Suite 286 West
New Hyde Park, NY 11042-1011
Mailing address
2001 Marcus Ave
Suite 286 West
New Hyde Park, NY 11042-1011
Phone (516) 328-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040921000431 | NY | Practitioner - Optometry | 8527036227 | Practice locations: Roslyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004430 | NY | MD | Behavioral Analyst |
| T 004430 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie R Kolker OD | Optometrist | Current | Accepting new patients |
| DRS. Farkas, Kassalow, Resnick & Associates | Optometrist | Past | Accepting new patients |
| DRS. Farkas, Kassalow, Resnick & Associates, PC | Optometrist | Past | Accepting new patients |
| Harbor Optics Inc | Optometrist | Past | Accepting new patients |
Locations
1000 Northern Blvd
Ste 310
Great Neck, NY 11021
Phone (516) 328-1800
2001 Marcus Ave
Ste W286
New Hyde Park, NY 11042
Phone (516) 328-1800
Interoperability endpoints
- https://api.platform.athenahealth.com/3699/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- New Hyde Park, NY
- NPI 1174770317
-
- Optometrist
- Roslyn, NY
- NPI 1619169711
-
- Optometrist
- New York, NY
- NPI 1669671459
-
- Optometrist
- Rockaway Park, NY
- NPI 1245341841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1003992603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE 286 WEST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421011",
"telephone_number": "516-328-1800",
"fax_number": "516-358-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE 286 WEST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421011",
"telephone_number": "516-328-1800",
"fax_number": "516-358-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLKER",
"first_name": "LESLIE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T 004430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.