Mike Ghossn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

004407 Issued in NY

Practice address

3270 Hempstead Tpke
Levittown, NY 11756-1345

Phone

(516) 731-5050

Fax

(516) 731-4900

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Central Nassau Optical, Inc.

  • Optician
  • Levittown, NY
  • NPI 1376762492
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1285768036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GLEASON DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466535",
            "telephone_number": "631-242-9534",
            "fax_number": "516-731-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561345",
            "telephone_number": "516-731-5050",
            "fax_number": "516-731-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSSN",
        "first_name": "MIKE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter James Gaudino, M.D.
• Adina Geller, MD
• Rebecca M Gersbeck
• Anastasia Joy Gerver, LPN
• Shazad Ahmad Ghannie
• Dina T Giacopelli, M.S.-CCC-A
• Saamiya Munawar Gill
• Donna Gimino-Bortell, M.A., CCC, SLP
• Nina Glenn, LMSW
• Dale Suzanne Glowacki, L.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.