Active NPI
Suffolk Ophthalmology Associates PC
- Ophthalmology Physician
- Bay Shore, NY
National Provider Identifier
1407825367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SUFFOLK OPHTHALMOLOGY ASSOCIATES PC
- Practice address
- 375 E Main St
Ste 24
Bay Shore, NY 11706 - Phone
- (631) 665-1330
- Fax
- (631) 665-1363
- NPI assigned
- Mar 14, 2006
- Last updated
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Allan Lewen, MD
- Title
- President
- Phone
- (631) 665-1330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
375 E Main St
Ste 24
Bay Shore, NY 11706
Mailing address
375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Bay Shore, NY
- NPI 1063481208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1407825367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E MAIN ST",
"address_2": "STE 24",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-1330",
"fax_number": "631-665-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E MAIN ST",
"address_2": "STE 24",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-1330",
"fax_number": "631-665-1363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUFFOLK OPHTHALMOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "LEWEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-665-1330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.