Active NPI
New Vision Ophthalmology
- Ophthalmology Physician
- Far Rockaway, NY
National Provider Identifier
1063693216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 206985
- Legal business name
- NEW VISION OPHTHALMOLOGY
- Practice address
- 493 Beach 20TH St
Far Rockaway, NY 11691-3621 - Phone
- (718) 265-9900
- Fax
- (718) 265-9219
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leon Futoran, M.D.
- Title
- P.C.Holder
- Phone
- (718) 265-9900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | 206985 | NY | Primary |
Addresses
Primary practice location
493 Beach 20TH St
Far Rockaway, NY 11691-3621
Mailing address
PO Box 462
Roslyn Heights, NY 11577-0462
Phone (718) 265-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07420 | Other | NY | GHI MEDICARE |
National Provider Directory
National Provider DirectoryLocations
493 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 265-9900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brooklyn, NY
- NPI 1821312166
-
- Optometrist
- Brooklyn, NY
- NPI 1699850578
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1487632568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1063693216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 462",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115770462",
"telephone_number": "718-265-9900",
"fax_number": "718-265-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913621",
"telephone_number": "718-265-9900",
"fax_number": "718-265-9219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION OPHTHALMOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "FUTORAN",
"authorized_official_first_name": "LEON",
"authorized_official_title_or_position": "P.C.HOLDER",
"authorized_official_telephone_number": "718-265-9900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "206985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "07420",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.