Active NPI
Halikiopoulos Ophthalmology, PC
- Ophthalmology Physician
- Great Neck, NY
National Provider Identifier
1093738437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 217146
- Legal business name
- HALIKIOPOULOS OPHTHALMOLOGY, PC
- Practice address
- 107 Northern Blvd
Suite 205
Great Neck, NY 11021-4309 - Phone
- (516) 466-4670
- Fax
- (516) 466-4675
- NPI assigned
- Jul 26, 2006
- 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
- Demetrios Halikiopoulos, DO
- Title
- Owner
- Phone
- (516) 466-4670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 217146 | NY | Primary |
Addresses
Primary practice location
107 Northern Blvd
Suite 205
Great Neck, NY 11021-4309
Mailing address
107 Northern Blvd
Suite 205
Great Neck, NY 11021-4309
Phone (516) 466-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
107 Northern Blvd
Ste 205
Great Neck, NY 11021
Phone (516) 466-4670
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Great Neck, NY
- NPI 1467453506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093738437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NORTHERN BLVD",
"address_2": "SUITE 205",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214309",
"telephone_number": "516-466-4670",
"fax_number": "516-466-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NORTHERN BLVD",
"address_2": "SUITE 205",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214309",
"telephone_number": "516-466-4670",
"fax_number": "516-466-4675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALIKIOPOULOS OPHTHALMOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HALIKIOPOULOS",
"authorized_official_first_name": "DEMETRIOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-466-4670",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "217146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.