Organization Active NPI

Dr. Leo Ollech

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1255591079
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0043741 Issued in NY
Legal business name
DR. LEO OLLECH
Practice address
1552 Coney Island Ave
Brooklyn, NY 11230-4716
Phone
(718) 258-0315
Fax
(718) 258-6622
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Leo Ollech, O.D.NPI 1841269289
Title
Dr.
Phone
(718) 253-6071

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV0043741 NY Primary

Addresses

Primary practice location

1552 Coney Island Ave
Brooklyn, NY 11230-4716

Mailing address

1231 E 10TH St
Brooklyn, NY 11230-4718
Phone (718) 253-6071

Other identifiers 1

IdentifierTypeStateIssuer
008238366MedicaidNY

National Provider Directory

National Provider Directory

Locations

1552 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 258-0315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1255591079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E 10TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304718",
            "telephone_number": "718-253-6071",
            "fax_number": "718-253-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304716",
            "telephone_number": "718-258-0315",
            "fax_number": "718-258-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEO OLLECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "OLLECH",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "718-253-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0043741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008238366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.