Active NPI
Dr. Lucia Patino, Optometrist, P.C.
- Optometrist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucia Patino, O.D,
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Jackson Heights, NY
- NPI 1497910525
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.
-
- Optometrist
- Jackson Heights, NY
- NPI 1659483683
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.