NPIMap

Organization Active NPI

L&K Optical, Inc.

  • Optometrist
  • Lake Grove, NY
National Provider Identifier
1356461859
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY TUV003919-1 Issued in NY
Legal business name
L&K OPTICAL, INC.
Practice address
124 Smith Haven Mall
Lake Grove, NY 11755-1214
Phone
(631) 724-9055
Fax
(631) 724-9142
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Shlomo Leiderman
Title
Owner
Phone
(631) 724-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY TUV003919-1 NY Primary

Addresses

Primary practice location

124 Smith Haven Mall
Lake Grove, NY 11755-1214

Mailing address

124 Smith Haven Mall
Lake Grove, NY 11755-1214
Phone (631) 724-9055

Other names 1

  • Sterling Optical Doing business as

National Provider Directory

National Provider Directory

Locations

124 Smith Haven Mall
Lake Grove, NY 11755
Phone (631) 724-9055

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1356461859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551214",
            "telephone_number": "631-724-9055",
            "fax_number": "631-724-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551214",
            "telephone_number": "631-724-9055",
            "fax_number": "631-724-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&K OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEIDERMAN",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-724-9055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY TUV003919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.