Organization Active NPI

Long Island Ophthalmic Care, P.L.L.C.

  • Ophthalmology Physician
  • Hempstead, NY
National Provider Identifier
1346411642
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
219623 Issued in NY
Legal business name
LONG ISLAND OPHTHALMIC CARE, P.L.L.C.
Practice address
230 Hilton Ave
Suite 118
Hempstead, NY 11550-8115
Phone
(516) 481-1570
Fax
(516) 481-1786
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Peter J.G. Maris Jr., M.D.
Title
Direct Owner
Phone
(516) 481-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 219623 NY Primary

Addresses

Primary practice location

230 Hilton Ave
Suite 118
Hempstead, NY 11550-8115

Mailing address

230 Hilton Ave
Suite 118
Hempstead, NY 11550-8115
Phone (516) 481-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000244 NY Part B Supplier - Clinic/Group Practice 8527133420 Receives reassigned benefits from 2 practitioners
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Locations

230 Hilton Ave
Ste 118
Hempstead, NY 11550
Phone (516) 481-1570

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1346411642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 118",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-481-1570",
            "fax_number": "516-481-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 118",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-481-1570",
            "fax_number": "516-481-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND OPHTHALMIC CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.G.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "516-481-1570",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "219623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.