Individual provider Active NPI

Larry B Greenspan, OPTICIAN

  • Optician
  • Cedarhurst, NY
National Provider Identifier
1124143367
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4779 Issued in NY
Practice address
138 Cedarhurst Ave
Cedarhurst, NY 11516-2130
Phone
(516) 569-2888
Fax
(516) 569-2596
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 4779 NY Primary

Addresses

Primary practice location

138 Cedarhurst Ave
Cedarhurst, NY 11516-2130

Mailing address

138 Cedarhurst Ave
Cedarhurst, NY 11516-2130
Phone (516) 569-2888

Other identifiers 1

IdentifierTypeStateIssuer
OP1364OtherNYPROVIDER ID# FOR EYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4779NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
L & M Opticians LTD Optician Current Accepting new patients

Locations

138 Cedarhurst Ave
Cedarhurst, NY 11516
Phone (516) 569-2888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1124143367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162130",
            "telephone_number": "516-569-2888",
            "fax_number": "516-569-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162130",
            "telephone_number": "516-569-2888",
            "fax_number": "516-569-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "LARRY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID# FOR EYEMED",
            "identifier": "OP1364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.