Organization Active NPI

New York Eye Care & Surgery PC

  • Ophthalmology Physician
  • Great Neck, NY
National Provider Identifier
1386023844
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206436 Issued in NY
Legal business name
NEW YORK EYE CARE & SURGERY PC
Practice address
287 Northern Blvd
Great Neck, NY 11021-4700
Phone
(516) 829-2020
Fax
(516) 829-2026
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Daniel K Khodadadian, MD
Title
Ceo President
Phone
(516) 773-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 206436 NY Primary

Addresses

Primary practice location

287 Northern Blvd
Great Neck, NY 11021-4700

Mailing address

18 Franklin PL
Great Neck, NY 11023-1229
Phone (516) 829-2020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2132290New York Eye Care & Surgery, PC287 Northern Boulevard - Ste 101, Great Neck, NY 11021Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Locations

287 Northern Blvd
Great Neck, NY 11021
Phone (516) 773-3030

Practitioners & affiliated clinicians

Practitioners 5

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": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1386023844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FRANKLIN PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231229",
            "telephone_number": "516-829-2020",
            "fax_number": "516-829-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214700",
            "telephone_number": "516-829-2020",
            "fax_number": "516-829-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK EYE CARE & SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "KHODADADIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "516-773-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.