Individual provider Active NPI

Courtney Lynn Case, O.D.

  • Optometrist
  • Patchogue, NY
National Provider Identifier
1255539094
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007226 Issued in NY
Practice address
501 N Ocean Ave
Patchogue, NY 11772-1758
Phone
(631) 866-2030
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007226 NY Primary

Addresses

Primary practice location

501 N Ocean Ave
Patchogue, NY 11772-1758

Mailing address

39 Gilbert St
Patchogue, NY 11772-3641
Phone (917) 937-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000131 NY Practitioner - Optometry 4981852886 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007226NYMDMental Health Counselor
TUV007226NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince May 4, 2015 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Sun River Health Inc. CurrentSince Jan 9, 2025 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Harmony Health Care Long Island CurrentSince May 4, 2015 Accepting new patients
Sun River Health Inc Current Accepting new patients
Harvey Moscot , O.D. P.C. Optometrist Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

501 N Ocean Ave
Patchogue, NY 11772
Phone (631) 396-7026

883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1255539094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GILBERT ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723641",
            "telephone_number": "917-937-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721758",
            "telephone_number": "631-866-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-10-22",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.