Active NPI
Larry B Greenspan, OPTICIAN
- Optician
- Cedarhurst, NY
National Provider Identifier
1124143367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP1364 | Other | NY | PROVIDER 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4779 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Durable Medical Equipment & Medical Supplies
- Cedarhurst, NY
- NPI 1609045541
Optician
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.