Active NPI
Heather Blank, OPTICIAN
- Optometrist
- Plainview, NY
National Provider Identifier
1366762361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005376-1
- Practice address
- 86 Manetto Hill Mall
Plainview, NY 11803 - Phone
- (516) 935-0899
- NPI assigned
- Jun 2, 2010
- Last updated
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005376-1 | NY | Primary |
| Optician | 156FX1800X | C006425-1 | NY |
Addresses
Primary practice location
86 Manetto Hill Mall
Plainview, NY 11803
Mailing address
86 Manetto Hill Mall
Plainview, NY 11803
Phone (516) 935-0899
Other names 1
- Dr. Lee Freundlich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T005376-1 | NY | MD | Optometrist |
| C006425-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenneyes Inc. | Past | Accepting new patients | |
| Plain View Optical Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba optical image
- Durable Medical Equipment & Medical Supplies
- Plainview, NY
- NPI 1588842645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1366762361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 MANETTO HILL MALL",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-935-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 MANETTO HILL MALL",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-935-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "HEATHER",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005376-1",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C006425-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "FREUNDLICH",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.