NPIMap

Organization Active NPI

North Queens Optometric Associates PLLC

  • Optometrist
  • Levittown, NY
National Provider Identifier
1316206121
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006091 Issued in NY
Legal business name
NORTH QUEENS OPTOMETRIC ASSOCIATES PLLC
Practice address
3850 Hempstead Tpke
Levittown, NY 11756-1303
Phone
(516) 796-2536
Fax
(516) 731-9622
NPI assigned
May 14, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Lisa Chan-O'Connell
Title
Optometrist
Phone
(516) 796-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006091 NY Primary

Addresses

Primary practice location

3850 Hempstead Tpke
Levittown, NY 11756-1303

Mailing address

3850 Hempstead Tpke
Levittown, NY 11756-1303
Phone (516) 796-2536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1316206121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561303",
            "telephone_number": "516-796-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561303",
            "telephone_number": "516-796-2536",
            "fax_number": "516-731-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH QUEENS OPTOMETRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "CHAN-O'CONNELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-796-2536",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.