Derek C Lindell, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

003810-0 Issued in NY

Practice address

10423 Queens Blvd
Forest Hills, NY 11375-3757

Phone

(718) 275-2500

Fax

(718) 275-9654

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Derek C Lindell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eye Q Optical Inc.

  • Optometrist
  • Forest Hills, NY
  • NPI 1013197433
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1144201500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753757",
            "telephone_number": "718-275-2500",
            "fax_number": "718-275-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753757",
            "telephone_number": "718-275-2500",
            "fax_number": "718-275-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDELL",
        "first_name": "DEREK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "003810-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "LINDELL",
            "middle_name": "C",
            "prefix": "MR.",
            "credential": "OPTICIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Jiun-Yen Lin, DDS
• Yinchun Hank Lin
• Lincoln Medical & Mental Health Center
• Richard Lind, P.A.
• Ana Marcela Lindacker
• Carolyn Lindenbaum, AU.D.
• Ashley C Linder
• Lisa Ling, MD
• Wen Ling
• Rebecca Linn-Walton, LMSW

• Optician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.