Active NPI
Harvey I Estren, O.D.
- Pediatric Optometrist
- Lindenhurst, NY
National Provider Identifier
1407852684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- VUT 3256-1 NY
- Practice address
- 164 N Wellwood Ave
Lindenhurst, NY 11757-4006 - Phone
- (631) 226-2313
- Fax
- (631) 226-3169
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | VUT 3256-1 NY | NY | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | VUT 3256-1 NY | NY | |
| Pediatric Optometrist | 152WP0200X | VUT 3256-1 NY | NY | Primary |
| Vision Therapy Optometrist | 152WV0400X | VUT-3256-1 NY | NY |
Addresses
Primary practice location
164 N Wellwood Ave
Lindenhurst, NY 11757-4006
Mailing address
PO Box 520
Lindenhurst, NY 11757-0520
Phone (631) 226-2313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT 3256-1 NY | NY | MD | Low Vision Rehabilitation Optometrist |
| VUT-3256-1 NY | NY | MD | Vision Therapy Optometrist |
| 003256 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1407852684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117570520",
"telephone_number": "631-226-2313",
"fax_number": "631-226-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 N WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574006",
"telephone_number": "631-226-2313",
"fax_number": "631-226-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTREN",
"first_name": "HARVEY",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "VUT 3256-1 NY",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NY",
"license": "VUT 3256-1 NY",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "VUT 3256-1 NY",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "VUT-3256-1 NY",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.