Active NPI
Henry Bickoff, O.D.
- Corneal and Contact Management Optometrist
- Hauppauge, NY
National Provider Identifier
1336145507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- TUV003961
- Practice address
- 1253 Veterans Memorial Hwy
Pearle Vision
Hauppauge, NY 11788-3024 - Phone
- (631) 656-0012
- Fax
- (631) 656-0023
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | TUV003961 | NY | Primary |
Addresses
Primary practice location
1253 Veterans Memorial Hwy
Pearle Vision
Hauppauge, NY 11788-3024
Mailing address
1253 Veterans Memorial Hwy
Pearle Vision
Hauppauge, NY 11788-3024
Phone (631) 656-0012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TUV003961 | Other | NY | STATE LICENCE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071127000768 | NY | Practitioner - Optometry | 8527157650 | Practice locations: Hauppauge, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003961 | NY | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1336145507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 VETERANS MEMORIAL HWY",
"address_2": "PEARLE VISION",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883024",
"telephone_number": "631-656-0012",
"fax_number": "631-656-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 VETERANS MEMORIAL HWY",
"address_2": "PEARLE VISION",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883024",
"telephone_number": "631-656-0012",
"fax_number": "631-656-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKOFF",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV003961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "TUV003961",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.