Organization Active NPI

RVC Optometric Associates, P.C.

  • Optometrist
  • Rockville Centre, NY
National Provider Identifier
1114352861
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005756 Issued in NY
Legal business name
RVC OPTOMETRIC ASSOCIATES, P.C.
Practice address
282 Sunrise Hwy
Rockville Centre, NY 11570-4906
Phone
(516) 798-2635
Fax
(516) 798-0896
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
David Leibstein, O.D.NPI 1598714321
Title
President
Phone
(516) 798-2635

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 TUV005756 NY Primary

Addresses

Primary practice location

282 Sunrise Hwy
Rockville Centre, NY 11570-4906

Mailing address

282 Sunrise Hwy
Rockville Centre, NY 11570-4906
Phone (516) 678-6313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140425000709 NY Part B Supplier - Clinic/Group Practice 2860625985 Receives reassigned benefits from 3 practitioners
Practice locations: Rockville Centre, NY

National Provider Directory

National Provider Directory

Locations

282 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 678-6313

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1114352861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704906",
            "telephone_number": "516-678-6313",
            "fax_number": "516-678-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704906",
            "telephone_number": "516-798-2635",
            "fax_number": "516-798-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVC OPTOMETRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "LEIBSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-798-2635",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.

Verify at the official NPI Registry.