Medical Surgical Eye Care Services PC
Organization Active NPI Ophthalmology Physician · West Islip, NY
NPI 1306863097 · NPPES record last updated Jan 14, 2011
Key facts
- NPI
- 1306863097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- MEDICAL SURGICAL EYE CARE SERVICES PC
- Practice address
- 360 Montauk Hwy
West Islip, NY 11795 - Phone
- (631) 422-1110
- Fax
- (631) 422-1916
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer M Atteniese
- Title
- Billing Manager
- Phone
- (631) 422-1110
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 18
-
Bennett Hong, M.D.
-
Todd Lustig, O.D.
-
Gregory Persak, M.D.
-
Jeffrey Lloyd Willig, M.D.
-
Marissa Cristina Povol, O.D.
-
Mitali Sanghani, O.D.
-
Ketan Laud, M.D.
-
Andrew N. Bainnson, M.D.
-
Monika Murawska, O.D.
-
Scott A Verni, MD.
-
Naima Gila Zilkha I, M.D.
-
Soyoung Sung, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000455 | NY | Part B Supplier - Clinic/Group Practice | 8426942129 |
Receives reassigned benefits from 11 practitioners Practice locations: West Islip, NY |
National Provider Directory
- Tax ID family
- Gregory Persak MD
Locations
1895 Walt Whitman Rd
Ste 10
Melville, NY 11747
Phone (631) 293-9700
360 Montauk Hwy
#7118
West Islip, NY 11795
Interoperability endpoints
- mespinosa@tceco.intellechartdirect.net
- tdaus@tceco.intellechartdirect.net
- gpersak@tceco.intellechartdirect.net
- mstrachovsky@tceco.intellechartdirect.net
- jwillig@tceco.intellechartdirect.net
- bhong@tceco.intellechartdirect.net
- tlustig@tceco.intellechartdirect.net
- arabinovich@tceco.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245045 | Medicaid | NY |
Other names
- The Center For Eye Care and Optical
Other providers in West Islip, NY
- Edward F McLaughlin
- Thomas McNally
- Darcy McRedmond
- Medical Services of Mount Sinai, P.C.
- Medical Services of Stony Brook PC
- Medical Surgical Eye Care Services, PC
- Mehling Orthopedic of New York, PLLC
- Mehling Orthopedics PLLC
- Prabhu Mehta
- Melissa Anne Terpko M.S.,CCC,SLP,P.C
All providers in West Islip, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.