Mid Island Eye Physicians & Surgeons PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MID ISLAND EYE PHYSICIANS & SURGEONS PC

Practice address

4277 Hempstead Tpke
#109
Bethpage, NY 11714

Phone

(516) 796-4030

Fax

(516) 796-5134

NPI assigned

Apr 25, 2007

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted A Karl, MDNPI 1063529501

Title

Owner 26 Percent

Phone

(516) 796-4030

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted Allan Karl, MD

  • Ophthalmology Physician
  • Bethpage, NY
  • NPI 1063529501
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1114146073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "#109",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-796-4030",
            "fax_number": "516-796-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "#109",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-796-4030",
            "fax_number": "516-796-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ISLAND EYE PHYSICIANS & SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER 26 PERCENT",
        "authorized_official_telephone_number": "516-796-4030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138520",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "146480",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "224064",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "183193",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "178691",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "191081",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cohen Micciulli, L.M.H.C.
• Michael Gitlin DDS P.C. (Gitlin Dental Group)
• Michael Gitlin DDS PC
• Nicholas Michael, PA-C
• Michele Elise Michelson, LBA
• Mid Island GYN
• Jeanette Lucille Milevoj
• Ronald Bryan Minear, DPT
• MLF RN Health Link PC (Bethpage Lactation)
• Modern Art Acupuncture P.C.

• Ophthalmology Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.