Organization Active NPI

New Vision Ophthalmology

  • Ophthalmology Physician
  • Far Rockaway, NY
National Provider Identifier
1063693216
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206985 Issued in NY
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

Updated by the provider on Nov 15, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
07420OtherNYGHI MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.