Active NPI
Sandy Robin Kline, OD
- Optometrist
- Oakland Gardens, NY
National Provider Identifier
1548323280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4593
- Practice address
- 7508 Bell Blvd
Apt 1P
Oakland Gardens, NY 11364-3403 - Phone
- (973) 736-4498
- Fax
- (973) 574-8223
- NPI assigned
- Dec 17, 2006
- Last updated
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4593 | NJ | Primary |
| Optometrist | 152W00000X | 4586 | NY | |
| Optometrist | 152W00000X | 6494P | PA |
Addresses
Primary practice location
7508 Bell Blvd
Apt 1P
Oakland Gardens, NY 11364-3403
Mailing address
22 Dale Dr
West Orange, NJ 07052-2006
Phone (973) 736-4498
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 |
|---|---|---|---|
| 4593 | NJ | MD | Counseling Psychologist |
| 4586 | NY | MD | Optometrist |
| 6494P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1548323280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DALE DR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522006",
"telephone_number": "973-736-4498",
"fax_number": "973-574-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7508 BELL BLVD",
"address_2": "APT 1P",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113643403",
"telephone_number": "973-736-4498",
"fax_number": "973-574-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "SANDY",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4593",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "4586",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "6494P",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.