NPIMap

Organization Active NPI

Medical Surgical Eye Care Services PC

Doing business as The Center For Eye Care and Optical

  • Ophthalmology Physician
  • West Islip, NY
National Provider Identifier
1306863097
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MEDICAL SURGICAL EYE CARE SERVICES PC
Doing business as
The Center For Eye Care and Optical
Practice address
360 Montauk Hwy
West Islip, NY 11795
Phone
(631) 422-1110
Fax
(631) 422-1916
NPI assigned
Jul 17, 2006
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mrs. Jennifer M Atteniese
Title
Billing Manager
Phone
(631) 422-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

360 Montauk Hwy
West Islip, NY 11795

Mailing address

360 Montauk Hwy
West Islip, NY 11795-4403
Phone (631) 422-1110

Other names 1

  • The Center For Eye Care and Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000455 NY Part B Supplier - Clinic/Group Practice 8426942129 Receives reassigned benefits from 11 practitioners
Practice locations: West Islip, NY

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Gregory Persak MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

360 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-1110

360 Montauk Hwy
#7118
West Islip, NY 11795

1500 Jericho Tpke
Westbury, NY 11590
Phone (516) 277-8400

Interoperability endpoints

  • Direct secure messaging: arabinovich@tceco.intellechartdirect.net
  • Direct secure messaging: bhong@tceco.intellechartdirect.net
  • Direct secure messaging: gpersak@tceco.intellechartdirect.net
  • Direct secure messaging: jwillig@tceco.intellechartdirect.net
  • Direct secure messaging: mespinosa@tceco.intellechartdirect.net
  • Direct secure messaging: mstrachovsky@tceco.intellechartdirect.net
  • Direct secure messaging: tdaus@tceco.intellechartdirect.net
  • Direct secure messaging: tlustig@tceco.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1306863097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954403",
            "telephone_number": "631-422-1110",
            "fax_number": "631-422-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-422-1110",
            "fax_number": "631-422-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SURGICAL EYE CARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "ATTENIESE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-422-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center For Eye Care and Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.