Individual provider Active NPI

David Lelonek, O.D.

  • Optometrist
  • Garden City, NY
National Provider Identifier
1447254941
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T004678-1 Issued in NY
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

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00975966MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000588 NY Practitioner - Optometry 7517150790 Reassigns benefits to 2 organizations
Practice locations: Carle Place, NY

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
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

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 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T004678-1NYMDOptometrist
004678NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jan 1, 2022 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.

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

Verify at the official NPI Registry.