Individual provider Active NPI

Harvey I Estren, O.D.

  • Pediatric Optometrist
  • Lindenhurst, NY
National Provider Identifier
1407852684
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
VUT 3256-1 NY Issued in 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

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
VUT 3256-1 NYNYMDLow Vision Rehabilitation Optometrist
VUT-3256-1 NYNYMDVision Therapy Optometrist
003256NYMDGeriatric 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.

Verify at the official NPI Registry.