Active NPI
North Shore Optometric Group, PC
- Optometrist
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NORTH SHORE OPTOMETRIC GROUP, PC
- Practice address
- 1129 Northern Blvd
Suite 100
Manhasset, NY 11030-3022 - Phone
- (516) 627-5656
- Fax
- (516) 627-5672
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larina Raquel Rosa, O.D.
- Title
- Secretary
- Phone
- (516) 627-5656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NY | Primary |
Addresses
Primary practice location
1129 Northern Blvd
Suite 100
Manhasset, NY 11030-3022
Mailing address
1129 Northern Blvd
Suite 100
Manhasset, NY 11030-3022
Phone (516) 627-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1129 Northern Blvd
Ste 100
Manhasset, NY 11030
Phone (516) 627-5656
1129 Northern Blvd
Ste 306
Manhasset, NY 11030
Phone (516) 627-5656
1041 W Jericho Tpke
Ste C
Smithtown, NY 11787
Phone (631) 864-0100
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Manhasset, NY
- NPI 1023089539
-
- Optometrist
- Manhasset, NY
- NPI 1447220579
-
- Corneal and Contact Management Optometrist
- New York, NY
- NPI 1881822880
-
- Optometrist
- Mesa, AZ
- NPI 1952372955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1225330095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303022",
"telephone_number": "516-627-5656",
"fax_number": "516-627-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303022",
"telephone_number": "516-627-5656",
"fax_number": "516-627-5672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE OPTOMETRIC GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "ROSA",
"authorized_official_first_name": "LARINA",
"authorized_official_middle_name": "RAQUEL",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "516-627-5656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
- North Shore Kids Talk
- North Shore Lij
- North Shore Long Island Jewish University Hospital
- North Shore Medical Group of the Mount Sinai School of Medicine
- North Shore Nephrology, PC
- North Shore Otolaryngology Assoc, P.C.
- North Shore Podiatry, PC
- North Shore Psychiatric NP
- North Shore Univ Hosp Phcy
- North Shore University Hospital (Vivo Health Pharmacy at Manhasset)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.