Active NPI
Prince Center for the Visually Impaired
- Low Vision Rehabilitation Optometrist
- Valley Stream, NY
National Provider Identifier
1245776640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- Legal business name
- PRINCE CENTER FOR THE VISUALLY IMPAIRED
- Practice address
- 550 W Merrick Rd
Suite 3
Valley Stream, NY 11580-5101 - Phone
- (516) 200-3850
- Fax
- (516) 825-0112
- NPI assigned
- Jan 10, 2017
- 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. Lucien G Prince, MD,MBA,MS-CVRT, CLVT
- Title
- Chairman
- Phone
- (516) 200-3850
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Low Vision Rehabilitation Optometrist | 152WL0500X | Primary | ||
| Pediatric Optometrist | 152WP0200X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Occupational Vision Optometrist | 152WX0102X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | |||
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Medical Technologist | 246QM0706X |
Addresses
Primary practice location
550 W Merrick Rd
Suite 3
Valley Stream, NY 11580-5101
Mailing address
550 W Merrick Rd
Suite 3
Valley Stream, NY 11580-5101
Phone (516) 200-3850
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-2520568 | Other | NY | OCCUPATIONAL THERAPIST |
| 02079638 | Medicaid | NY | |
| 45-5060871 | Other | NY | SPEECH PATHOLOGIST |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Technologist
- Valley Stream, NY
- NPI 1326584939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1245776640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W MERRICK RD",
"address_2": "SUITE 3",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805101",
"telephone_number": "516-200-3850",
"fax_number": "516-825-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W MERRICK RD",
"address_2": "SUITE 3",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805101",
"telephone_number": "516-200-3850",
"fax_number": "516-825-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCE CENTER FOR THE VISUALLY IMPAIRED",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-10",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "LUCIEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "516-200-3850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD,MBA,MS-CVRT, CLVT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255R0406X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CX0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QM0706X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "35-2520568",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02079638",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGIST",
"identifier": "45-5060871",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.