Organization Active NPI

Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
National Provider Identifier
1285675660
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Practice address
2000 N Village Ave
Suite 402
Rockville Centre, NY 11570-1078
Phone
(516) 766-2519
Fax
(516) 766-3714
NPI assigned
Jun 9, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Mr. Thomas F. Burke
Title
Ceo
Phone
(516) 872-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2000 N Village Ave
Suite 402
Rockville Centre, NY 11570-1078

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2136
Phone (516) 804-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000356 NY Part B Supplier - Clinic/Group Practice 8022909076 Receives reassigned benefits from 133 practitioners
1 other NPI on this enrollment
Practice locations: New York, NY; Niagara Falls, NY; Oceanside, NY; Orchard Park, NY; Plainview, NY; Port Jefferson, NY; Rego Park, NY; Richmond Hill, NY…
O20220906003405 NJ Part B Supplier - Clinic/Group Practice 8022909076 Receives reassigned benefits from 3 practitioners
Practice locations: Ramsey, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1025150Ophthalmic Consultants of Long Island- Rckvl Cntre2000 North Village Avenue, Suite 402, Rockville Centre, NY 11570Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

3127 41st St
#13292
Astoria, NY 11103

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

189 Forest Ave
Ste 2C
Glen Cove, NY 11542
Phone (516) 674-3000

200 Motor Pkwy
Ste D25
Hauppauge, NY 11788
Phone (631) 952-8000

1705 Broadway
Ste 3
Hewlett, NY 11557
Phone (516) 569-5700

400 S Oyster Bay Rd
Ste 303
Hicksville, NY 11801
Phone (516) 681-3939

755 Park Ave
Ste 1
Huntington, NY 11743

755 Park Ave
Ste 100
Huntington, NY 11743
Phone (631) 223-0400

360 Merrick Rd
Fl 3
Lynbrook, NY 11563
Phone (516) 593-7709

585 Plandome Rd
Ste 104
Manhasset, NY 11030
Phone (516) 627-3232

300 Old Country Rd
Ste 1
Mineola, NY 11501
Phone (516) 739-6600

132 E 76th St
Ofc 2D
New York, NY 10021
Phone (212) 505-2151

6933 Williams Rd
Niagara Falls, NY 14304
Phone (716) 205-0151

3345 Southwestern Blvd
Ste 108
Orchard Park, NY 14127

3670 S Benzing Rd
Ste J
Orchard Park, NY 14127
Phone (716) 631-3300

1550 Rte 112
BLDG 3
Port Jefferson, NY 11776
Phone (631) 828-5555

2500 Route 347
Bldg 24
Stony Brook, NY 11790
Phone (631) 941-1400

6333 Main St
Ste 1
Williamsville, NY 14221
Phone (716) 632-3545

7 Limestone Dr
#B
Williamsville, NY 14221
Phone (716) 631-3300

Practitioners & affiliated clinicians

Practitioners 144

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.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1285675660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5216",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 402",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-766-2519",
            "fax_number": "516-766-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-872-8309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.