Individual provider Active NPI

Stephen Allan Lewen, MD

  • Ophthalmology Physician
  • Bay Shore, NY
National Provider Identifier
1063481208
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
149082 Issued in NY
Practice address
375 E Main St
Suite 24
Bay Shore, NY 11706
Phone
(631) 665-1330
Fax
(631) 665-1363
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 149082 NY Primary

Addresses

Primary practice location

375 E Main St
Suite 24
Bay Shore, NY 11706

Mailing address

375 E Main St
Suite 24
Bay Shore, NY 11706
Phone (631) 665-1330

Other identifiers 1

IdentifierTypeStateIssuer
00699032MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000151 NY Practitioner - Ophthalmology 5092869412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Mar 1, 2015 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 1, 2015 Accepting new patients
Island Contact Lens Center Inc PastSince Dec 14, 1996 Accepting new patients

Locations

180 E Main St
Ste 1
Bay Shore, NY 11706
Phone (631) 665-3918

375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

100 Motor Pkwy
Ste 110
Hauppauge, NY 11788

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1063481208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 24",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-1330",
            "fax_number": "631-665-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 24",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-1330",
            "fax_number": "631-665-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWEN",
        "first_name": "STEPHEN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "149082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.