Organization Active NPI

Long Island Optometric Vision Development, PLLC

  • Vision Therapy Optometrist
  • Westbury, NY
National Provider Identifier
1013186402
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
TUV005207 Issued in NY
Legal business name
LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC
Practice address
265 Post Avenue
Suite 380
Westbury, NY 11590-2233
Phone
(516) 334-9385
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michele Robin Bessler, ODNPI 1053438564
Title
Optometrist/Owner
Phone
(516) 334-9385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X TUV005207 NY Primary

Addresses

Primary practice location

265 Post Avenue
Suite 380
Westbury, NY 11590-2233

Mailing address

265 Post Ave
Suite 380
Westbury, NY 11590-2233
Phone (516) 334-9385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000719 NY Part B Supplier - Clinic/Group Practice 1254220924 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Locations

300 Garden City Plz
Ste 234
Garden City, NY 11530
Phone (516) 334-9385

265 Post Ave
Ste 380
Westbury, NY 11590
Phone (516) 334-9385

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1013186402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POST AVE",
            "address_2": "SUITE 380",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-334-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POST AVENUE",
            "address_2": "SUITE 380",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902233",
            "telephone_number": "516-334-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BESSLER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "516-334-9385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV005207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.