Active NPI
David Lelonek, O.D.
- Optometrist
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T004678-1
- Practice address
- 928 Old Country Rd
Garden City, NY 11530-2109 - Phone
- (516) 520-6580
- Fax
- (516) 520-6584
- NPI assigned
- Jun 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T004678-1 | NY | Primary |
Addresses
Primary practice location
928 Old Country Rd
Garden City, NY 11530-2109
Mailing address
486 Spruce LN
East Meadow, NY 11554-3704
Phone (516) 485-3637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00975966 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Old Country Rd
Suite 297
Carle Place, NY 11514-1845
Phone (516) 222-6580
260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T004678-1 | NY | MD | Optometrist |
| 004678 | NY | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sightrite Inc | Optometrist | Current | Accepting new patients |
| Eye Care Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
Locations
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300
15 Canal Rd
Pelham, NY 10803
Phone (646) 362-4601
260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Staten Island, NY
- NPI 1851983654
-
- Optometrist
- Brooklyn, NY
- NPI 1336562644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1447254941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 SPRUCE LN",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115543704",
"telephone_number": "516-485-3637",
"fax_number": "516-485-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 OLD COUNTRY RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302109",
"telephone_number": "516-520-6580",
"fax_number": "516-520-6584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELONEK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T004678-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00975966",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.