South Shore Ophthalmology,P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTH SHORE OPHTHALMOLOGY,P.C.

Practice address

1175 W Broadway
Suite 25
Hewlett, NY 11557-1922

Phone

(516) 374-1122

Fax

(516) 374-1025

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

William Harry Boockvar, MD

Title

President

Phone

(516) 374-1122

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.

• Mark Alan Melamed, MD

  • Ophthalmology Physician
  • Hewlett, NY
  • NPI 1952362261
  Medicare reassignment

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1225164072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 W BROADWAY",
            "address_2": "SUITE 25",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571922",
            "telephone_number": "516-374-1122",
            "fax_number": "516-374-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W BROADWAY",
            "address_2": "SUITE 25",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571922",
            "telephone_number": "516-374-1122",
            "fax_number": "516-374-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE OPHTHALMOLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BOOCKVAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-1122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Gabrielle Smilowitz
• Corinne Smith, LMSW
• Sofia Munoz Mental Health Counseling, PLLC (Sophos Mental Health)
• Sergio Sokol, M.D.,F.A.A.C.
• South Nassau Cardiovascular Practice, PC
• Irina Spivak, NP
• Andrea Starr, MA, CCC/SLP
• Status Medical Supply Inc
• Eric Hanan Steinberg, D.O.
• Janet Steiner, LCSW

• Ophthalmology Physician in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.