Active NPI
Erica Meltzer, OD
- Optometrist
- Great Neck, NY
National Provider Identifier
1306572672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009624
- Practice address
- 80 Middle Neck Rd
Great Neck, NY 11021-1243 - Phone
- (516) 487-3074
- Fax
- (516) 487-2581
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009624 | NY | Primary |
Addresses
Primary practice location
80 Middle Neck Rd
Great Neck, NY 11021-1243
Mailing address
2978 Hewlett Ave
Merrick, NY 11566-5311
Phone (516) 779-9939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009624 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Central Optical Co Inc | Optometrist | Current | Accepting new patients |
| Gary Tracy, OD P.C. | Optometrist | Current | Accepting new patients |
| Epic Medical Group,Inc | Past | Accepting new patients | |
| Krystal Klear Optical Inc. | Optometrist | Past | Accepting new patients |
Locations
62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220
342 Madison Ave
New York, NY 10173
Phone (212) 599-1220
369 Madison Ave
New York, NY 10017
Phone (212) 599-1220
Interoperability endpoints
- https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Optometrist
- New York, NY
- NPI 1003237306
-
- Optometrist
- New York, NY
- NPI 1649221268
-
- Optometrist
- New York, NY
- NPI 1861529687
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1306572672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 HEWLETT AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665311",
"telephone_number": "516-779-9939",
"fax_number": "516-487-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MIDDLE NECK RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211243",
"telephone_number": "516-487-3074",
"fax_number": "516-487-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTZER",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.