Sheldon Retkinski

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004177 Issued in NY

Practice address

9309 63Rd Dr
Rego Park, NY 11374-2924

Phone

(718) 275-0955

NPI assigned

Oct 17, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyeconic Vision Group IncGroup PAC ID 8426330192, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyeconic Vision Group Inc

  • Non-Pharmacy Dispensing Site
  • New York, NY
  • NPI 1649722976
  Medicare reassignment Care Compare group
• Eyeconic Vision Brownsville Inc

  • Non-Pharmacy Dispensing Site
  • Brooklyn, NY
  • NPI 1508417221

  Optometrist

  Medicare reassignment NPD
• Eyeconic Vision JH Inc

  • Non-Pharmacy Dispensing Site
  • Jackson Heights, NY
  • NPI 1942005400
  Medicare reassignment NPD
• Eyeconic Vision World Inc

  • Non-Pharmacy Dispensing Site
  • Staten Island, NY
  • NPI 1538690938

  Optometrist

  Medicare reassignment NPD
• Eyeconic Inwood Inc

  • Optometrist
  • Inwood, NY
  • NPI 1164941233
  Medicare reassignment
• Davidoff Optical Center Corp.

  • Optician
  • Rego Park, NY
  • NPI 1871761478
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144301425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742924",
            "telephone_number": "718-275-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETKINSKI",
        "first_name": "SHELDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00724754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remed Medical, P. C.
• Linda Renaud
• Diane M Renzulli, D.C.
• Aviva Reschke
• Jill Sarah Resnick, LMSW
• Jessica Christina Reyes
• Dmitry Reznikoff, D.O.
• Irina Reznikoff, MA, CCC-SLP
• Kira Rhine
• Anthony B. Ricchiuti, R.PH.

• Optometrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.