Mirkin Vision Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

004688 Issued in NY

Legal business name

MIRKIN VISION CARE PC

Doing business as

Mirkin Vision Care

Practice address

253 Beach 116TH St
Rockaway Park, NY 11694-2102

Phone

(718) 634-0005

Fax

(718) 474-2003

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Prof. Daniel S Mirkin, O.D.NPI 1558363630

Title

President

Phone

(718) 634-0005

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mirkin Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Scott Mirkin, OD

  • Optometrist
  • Rockaway Park, NY
  • NPI 1558363630
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1417920042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BEACH 116TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942102",
            "telephone_number": "718-634-0005",
            "fax_number": "718-474-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 BEACH 116TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942102",
            "telephone_number": "718-634-0005",
            "fax_number": "718-474-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRKIN VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MIRKIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-634-0005",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004688",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "VUT004688",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT004688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01126778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirkin Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Kenneth Mehlman, MD
• Metropolitan Homecare Consultants, Inc
• Joanne P Middleton, CNM, NP
• Kalen T Mikell
• Sheldon Miller, DPM
• Daniel Scott Mirkin, OD
• Kristi Moore
• Ari Desilva Morgan, LCSW
• Arminda Maribel Motondo
• Marina Movashov, RN

• Optometrist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.