Active NPI
Albert Peralta, O.D
- Optometrist
- East Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008648
- Practice address
- 30-38 70TH Street Apt #3
East Elmhurst, NY 11370 - Phone
- (347) 924-5566
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- Sole proprietor
- No
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 | TUV008648 | NY | Primary |
Addresses
Primary practice location
30-38 70TH Street Apt #3
East Elmhurst, NY 11370
Mailing address
30-38 70TH Street Apt #3
East Elmhurst, NY 11370
Phone (347) 924-5566
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008648 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4501 Nyc Optical LLC | Optometrist | Current | Accepting new patients |
| Nyc Optical Group LLC | Optometrist | Current | Accepting new patients |
| 482 Nyc Optical LLC | Optometrist | Current | Accepting new patients |
| 1354 Nyc Optical LLC | Optometrist | Current | Accepting new patients |
| Linden Eye Care, Inc | Optometrist | Current | Accepting new patients |
| Nyc Optical Group LLC | Optometrist | Current | Accepting new patients |
| 589 Nyc Optical LLC | Optometrist | Past | Accepting new patients |
Locations
625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433
4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171
5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333
589 Sutter Ave
Brooklyn, NY 11207
Phone (347) 627-7896
482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182
1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526
2084 Linden Blvd
Brooklyn, NY 11207
Phone (718) 272-3700
Organizations & group practices 8
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.
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- Brooklyn, NY
- NPI 1427785930
-
- Optometrist
- Brooklyn, NY
- NPI 1275208506
-
- Optometrist
- Brooklyn, NY
- NPI 1093577710
-
- Optometrist
- Bronx, NY
- NPI 1659268373
-
- Optometrist
- Bronx, NY
- NPI 1235734773
-
- Optometrist
- Brooklyn, NY
- NPI 1932582897
-
- Optometrist
- Brooklyn, NY
- NPI 1922616499
-
- Optometrist
- Brooklyn, NY
- NPI 1669109203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1598201410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30-38 70TH STREET APT #3",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11370",
"telephone_number": "347-924-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30-38 70TH STREET APT #3",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11370",
"telephone_number": "347-924-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "ALBERT",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-17",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.