Organization Active NPI

Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Stony Brook, NY
National Provider Identifier
1245271600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Practice address
2500 Route 347
Building 24a
Stony Brook, NY 11790-2555
Phone
(631) 941-1400
Fax
(631) 941-1476
NPI assigned
Jun 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas F Burke
Title
Ceo
Phone
(516) 804-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2500 Route 347
Building 24a
Stony Brook, NY 11790-2555

Mailing address

865 Merrick Ave
Park Atrium - Suite 80 North
Westbury, NY 11590-6694
Phone (516) 804-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000356 NY Part B Supplier - Clinic/Group Practice 8022909076 Receives reassigned benefits from 133 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Niagara Falls, NY; Oceanside, NY; Orchard Park, NY; Plainview, NY; Port Jefferson, NY; Rego Park, NY; Richmond Hill, NY…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Hospital Rd
Ste 216
East Patchogue, NY 11772
Phone (631) 475-5511

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

1355 Northern Blvd
Ste 300
Manhasset, NY 11030
Phone (516) 627-3232

649 Broadway
Massapequa, NY 11758
Phone (516) 798-1411

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

2860 Long Beach Rd
Oceanside, NY 11572
Phone (516) 593-7709

125 Oakland Ave
Ste 101
Port Jefferson, NY 11777
Phone (631) 828-7100

2500 Nesconset Hwy
Bldg 24A
Stony Brook, NY 11790
Phone (631) 941-1400

135 Crossways Park Dr
Ste 101
Woodbury, NY 11797
Phone (516) 822-3911

Practitioners & affiliated clinicians

Practitioners 129

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245271600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRICK AVE",
            "address_2": "PARK ATRIUM - SUITE 80 NORTH",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906694",
            "telephone_number": "516-804-5216",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROUTE 347",
            "address_2": "BUILDING 24A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-941-1400",
            "fax_number": "631-941-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-804-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.