Individual provider Active NPI

Barry Scott Raines, OPHTHALMIC DISPENSER

  • Optician
  • Manhasset, NY
National Provider Identifier
1609852185
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005665 Issued in NY
Practice address
572 Plandome Rd
Manhasset, NY 11030-1946
Phone
(516) 869-5998
Fax
(516) 869-3513
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 005665 NY Primary

Addresses

Primary practice location

572 Plandome Rd
Manhasset, NY 11030-1946

Mailing address

572 Plandome Rd
Manhasset, NY 11030-1946
Phone (516) 869-5998

Other identifiers 1

IdentifierTypeStateIssuer
01136492MedicaidNY

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1609852185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946",
            "telephone_number": "516-869-5998",
            "fax_number": "516-869-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946",
            "telephone_number": "516-869-5998",
            "fax_number": "516-869-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "BARRY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.