Active NPI
George Wollman, O.D.
- Optometrist
- North Bellmore, NY
National Provider Identifier
1467423467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004026
- Practice address
- 1859 Newbridge Rd
North Bellmore, NY 11710-2218 - Phone
- (516) 785-4483
- Fax
- (516) 785-2374
- NPI assigned
- Jan 28, 2006
- 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 | TUV004026 | NY | Primary |
Addresses
Primary practice location
1859 Newbridge Rd
North Bellmore, NY 11710-2218
Mailing address
1859 Newbridge Rd
North Bellmore, NY 11710-2218
Phone (516) 785-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01090266 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004026 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1467423467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1859 NEWBRIDGE RD",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102218",
"telephone_number": "516-785-4483",
"fax_number": "516-785-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 NEWBRIDGE RD",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102218",
"telephone_number": "516-785-4483",
"fax_number": "516-785-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLMAN",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01090266",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.