Woodhaven Optical Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

004302 Issued in NY

Legal business name

WOODHAVEN OPTICAL CENTER

Practice address

8921 Jamaica Ave
Woodhaven, NY 11421-2041

Phone

(718) 847-1946

Fax

(718) 849-7326

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Leiter, O.D.

Title

Optometrist

Phone

(718) 847-1946

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1275587610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212041",
            "telephone_number": "718-847-1946",
            "fax_number": "718-849-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212041",
            "telephone_number": "718-847-1946",
            "fax_number": "718-849-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "LEITER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-847-1946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UFT",
            "identifier": "1001850000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP1079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SCREENING",
            "identifier": "713",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02375340",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "09282",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (CMS)",
            "identifier": "1300620001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "333552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodhaven Chemist Corp.
• Woodhaven Dental Care, P.C.
• Woodhaven Dental Group, PLLC
• Woodhaven Medical Supply
• Woodhaven Medical, P.C.
• Woodhaven Optometric Associates, P.C.
• Woodhaven Orthodontics, PLLC (Woodhaven Braces)
• Woodhaven Richmonds Hill Volunteer Ambulance Corps Inc
• Yanyun Yang
• Riche Yao, LMT

• Optometrist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.