Park Ave Eyeland East, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004095-1 Issued in NY

Legal business name

PARK AVE EYELAND EAST, LLC

Practice address

651 E Park Ave
Long Beach, NY 11561-2512

Phone

(561) 670-0700

Fax

(516) 442-3669

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leland Barry, O.D.NPI 1386812295

Title

Owner/President

Phone

(516) 670-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland Stann Barry, OD

  • Corneal and Contact Management Optometrist
  • Long Beach, NY
  • NPI 1386812295
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1174811202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612512",
            "telephone_number": "561-670-0700",
            "fax_number": "516-442-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612512",
            "telephone_number": "561-670-0700",
            "fax_number": "516-442-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE EYELAND EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-670-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004095-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary M Osofsky, RPH
• Kristen Renee Padula
• Taylor Nicole Paganini
• Monica Suniti Pal, PH.D.
• Joanne Paradiso, B.S. PHARMACY, MBA
• Park Avenue Eyeland Inc.
• Park Avenue Operating Company LLC
• Jamie Parnell, MHC
• Nicole Kristina Pasceri, M.S.ED.
• Mauricio Patino, LMT

• Optometrist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.