Individual provider Active NPI

Ellen F. Silverman, OD

  • Optometrist
  • Flushing, NY
National Provider Identifier
1063686988
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T-004326-1 Issued in NY
Practice address
72-59 Kissena Blvd
Flushing,, NY 11367
Phone
(718) 263-2020
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T-004326-1 NY Primary

Addresses

Primary practice location

72-59 Kissena Blvd
Flushing,, NY 11367

Mailing address

72-59 Kissena Blvd
Flushing,, NY 11367
Phone (718) 263-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-004326-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Lab Optician PC CurrentSince Oct 12, 2023 Accepting new patients
Eyeglass Liquidators Inc. Optometrist PastSince Oct 12, 2023 Accepting new patients

Locations

8113 Lefferts Blvd
Kew Gardens, NY 11415
Phone (718) 849-0847

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1063686988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72-59 KISSENA BLVD",
            "city": "FLUSHING,",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-263-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72-59 KISSENA BLVD",
            "city": "FLUSHING,",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-263-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "ELLEN",
        "middle_name": "F.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T-004326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.