Organization Active NPI

Dr. Lucia Patino, Optometrist, P.C.

  • Optometrist
  • Jackson Heights, NY
National Provider Identifier
1104139872
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006595 Issued in NY
Legal business name
DR. LUCIA PATINO, OPTOMETRIST, P.C.
Practice address
9534 Roosevelt Ave
Jackson Heights, NY 11372-8029
Phone
(718) 505-9401
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Lucia Patino, O.D,NPI 1659483683
Title
Owner
Phone
(718) 505-9401

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006595 NY Primary

Addresses

Primary practice location

9534 Roosevelt Ave
Jackson Heights, NY 11372-8029

Mailing address

9534 Roosevelt Ave
Jackson Heights, NY 11372-8029
Phone (718) 505-9401

National Provider Directory

National Provider Directory
Tax ID family
Dr Lucia Patino Optometrist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4007 82nd St
Elmhurst, NY 11373
Phone (718) 505-9401

9534 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 505-9401

Practitioners & affiliated clinicians

Practitioners 1

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": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1104139872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9534 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728029",
            "telephone_number": "718-505-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9534 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728029",
            "telephone_number": "718-505-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LUCIA PATINO, OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-505-9401",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.