Long Island Ophthalmology & Eye Surgery, P. C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

249146 Issued in NY

Legal business name

LONG ISLAND OPHTHALMOLOGY & EYE SURGERY, P. C.

Practice address

1731 Seagirt Blvd
Far Rockaway, NY 11691-4513

Phone

(718) 868-8668

Fax

(718) 868-8611

NPI assigned

Aug 15, 2010

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Demidenko, DONPI 1356542591

Title

Medical Director

Phone

(718) 868-8668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Alexander Demidenko, D.O.

  • Ophthalmology Physician
  • Far Rockaway, NY
  • NPI 1356542591
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1255646212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914513",
            "telephone_number": "718-868-8668",
            "fax_number": "718-868-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914513",
            "telephone_number": "718-868-8668",
            "fax_number": "718-868-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND OPHTHALMOLOGY & EYE SURGERY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-15",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DEMIDENKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-868-8668",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "249146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Lobo, M.D.
• Angelina Lombardo
• Eric Londregan, LMSW
• Long Island Hebrew Living Center
• Long Island Living Center, LLC
• Tishna M Lopez, NYCPS4786
• Victor Lopez Jr., D.O.
• Monique Malka Lopiansky, MA
• Sawat Losoponkul, MD
• Joseph Andre Louis, M.D.

• Ophthalmology Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.