Active NPI
Long Island Eye Refractive Care, PC
- Ophthalmology Physician
- Brentwood, NY
National Provider Identifier
1427177930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- LONG ISLAND EYE REFRACTIVE CARE, PC
- Practice address
- 601 Suffolk Ave
Brentwood, NY 11717-4309 - Phone
- (631) 231-4455
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Kelly Roxby
- Title
- Billing Supervisor
- Phone
- (631) 231-4455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NY | Primary |
Addresses
Primary practice location
601 Suffolk Ave
Brentwood, NY 11717-4309
Mailing address
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone (631) 231-4455
National Provider Directory
National Provider DirectoryLocations
601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427177930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 SUFFOLK AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174309",
"telephone_number": "631-231-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SUFFOLK AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174309",
"telephone_number": "631-231-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND EYE REFRACTIVE CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROXBY",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "631-231-4455",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.