Active NPI
Rita Ellent, O.D.
- Optometrist
- Jackson Heights, NY
National Provider Identifier
1649278953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005856
- Practice address
- 8325 37TH Ave
Jackson Heights, NY 11372-7320 - Phone
- (718) 426-2725
- NPI assigned
- Jul 11, 2005
- Last updated
- Jul 17, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005856 | NY | Primary |
Addresses
Primary practice location
8325 37TH Ave
Jackson Heights, NY 11372-7320
Mailing address
12 Station SQ
Forest Hills, NY 11375-5234
Phone (917) 803-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49890 | Other | NY | DAVIS |
| 02287781 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12 Station SQ
Forest Hills, NY 11375-5234
Phone (917) 803-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005856 | NY | MD | Optometrist |
| 005856 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S and B Optometry Care, P.C. | Optometrist | Current | Accepting new patients |
| Jackson Heights Optical Inc | Optometrist | Past | Accepting new patients |
Locations
12 Station Sq
Forest Hills, NY 11375
Phone (718) 480-1050
Interoperability endpoints
- rita.ellent@uprisedirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jackson Heights Vision Center
- Optometrist
- Jackson Heights, NY
- NPI 1881806917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1649278953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 STATION SQ",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755234",
"telephone_number": "917-803-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727320",
"telephone_number": "718-426-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENT",
"first_name": "RITA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "49890",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02287781",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
- Mauricio Eguez
- Elena Jenkins Acupuncture PLLC
- Mohamed Yosri Elfahham, PT
- Aurelia Elias
- Elite RX Management LLC (Jac Pharmacy & Surgical Supplies)
- Elliot Sabbagh DDS PC (Family Dental Center)
- Elmhurst Ave Medical Diagnostic, P.C.
- Elmhurst Chemists Inc (Elmhurst Chemists)
- Nadim M Elshazly, DPT
- Elvis Alfonso MD OB-GYN PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.