Garden City Ophthalmology, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

210490 Issued in NY

Legal business name

GARDEN CITY OPHTHALMOLOGY, PC

Practice address

877 Stewart Ave
Suite 12
Garden City, NY 11530-4803

Phone

(516) 665-9661

Fax

(516) 208-3506

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Srilata Sriram Naidu, M.D.NPI 1568462042

Title

President

Phone

(516) 665-9661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Srilata Sriram Naidu, MD

  • Ophthalmology Physician
  • Bethpage, NY
  • NPI 1568462042
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508953761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 STEWART AVE",
            "address_2": "SUITE 12",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304803",
            "telephone_number": "516-665-9661",
            "fax_number": "516-208-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 STEWART AVE",
            "address_2": "SUITE 12",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304803",
            "telephone_number": "516-665-9661",
            "fax_number": "516-208-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "SRILATA",
        "authorized_official_middle_name": "SRIRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-665-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "210490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Garden City PT & Chiropractic PLLC (Garden City PTDC)
• Garden City Public Schools

• Ophthalmology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Ophthalmology Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.