Lori Arbital, O.D.
Individual provider
Active NPI
Optometrist · Hicksville, NY
NPI 1366433807 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366433807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4487 (NY)
- Practice address
- 364 S Oyster Bay Rd
Hicksville, NY 11801-3508
- Phone
- (516) 681-6520
- Fax
- (516) 681-4706
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20111020000145 |
NY |
Practitioner - Optometry |
4284847187 |
Practice locations: Hicksville, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 4487 | NY | MD | Optometrist |
| 004487 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| Arbital Vision Care |
Optometrist |
Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
4487 |
NY |
Yes |
Addresses
Primary practice location
364 S Oyster Bay Rd
Hicksville, NY 11801-3508
Mailing address
364 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 681-6520
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 0664450001 | Other | NY | GRP NUMBER |