Organization Active NPI

S and B Optometry Care, P.C.

Doing business as The Gardens Eye Care

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1023442373
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005856 Issued in NY
Legal business name
S AND B OPTOMETRY CARE, P.C.
Doing business as
The Gardens Eye Care
Practice address
12 Station SQ
Forest Hills, NY 11375-5234
Phone
(917) 803-0002
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Rita Ellent, ODNPI 1649278953
Title
Doctor/President
Phone
(917) 803-0002

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 005856 NY Primary

Addresses

Primary practice location

12 Station SQ
Forest Hills, NY 11375-5234

Mailing address

12 Station SQ
Forest Hills, NY 11375-5234
Phone (917) 803-0002

Other names 1

  • The Gardens Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131105000489 NY Part B Supplier - Clinic/Group Practice 6002041753 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

12 Station Sq
Forest Hills, NY 11375
Phone (718) 480-1050

Practitioners & affiliated clinicians

Practitioners 1

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": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1023442373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STATION SQ",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755234",
            "telephone_number": "917-803-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STATION SQ",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755234",
            "telephone_number": "917-803-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND B OPTOMETRY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLENT",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "917-803-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.