NPIMap

Organization Active NPI

Lake Success Ophthalmic Associates PC

  • Ophthalmology Physician
  • New Hyde Park, NY
National Provider Identifier
1477546307
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LAKE SUCCESS OPHTHALMIC ASSOCIATES PC
Practice address
410 Lakeville Rd
Suite 300
New Hyde Park, NY 11042-1101
Phone
(516) 488-2750
Fax
(516) 488-7407
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Robin Malkin
Title
Office Manager
Phone
(516) 488-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

410 Lakeville Rd
Suite 300
New Hyde Park, NY 11042-1101

Mailing address

410 Lakeville Rd
Suite 300
New Hyde Park, NY 11042-1101
Phone (516) 488-2750

National Provider Directory

National Provider Directory

Locations

410 Lakeville Rd
Ste 300
New Hyde Park, NY 11042
Phone (516) 488-2750

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1477546307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-488-2750",
            "fax_number": "516-488-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-488-2750",
            "fax_number": "516-488-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS OPHTHALMIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-488-2750"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.