Organization Active NPI

St. Lucy's Eye Care Center, PC

  • Ophthalmology Physician
  • Bohemia, NY
National Provider Identifier
1063490753
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ST. LUCY'S EYE CARE CENTER, PC
Practice address
887 Church St.
Bohemia, NY 11716
Phone
(631) 589-2535
NPI assigned
Jan 4, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Benedict Urmaza
Title
President
Phone
(631) 589-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

887 Church St.
Bohemia, NY 11716

Mailing address

887 Church St.
Bohemia, NY 11716

National Provider Directory

National Provider Directory

Locations

887 Church St
Bohemia, NY 11716
Phone (516) 589-2535

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1063490753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 CHURCH ST.",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "11716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 CHURCH ST.",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "11716",
            "telephone_number": "631-589-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUCY'S EYE CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "URMAZA",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-589-2535",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.