Individual provider Active NPI

Lee I Freundlich, O.D.

  • Optometrist
  • Garden City, NY
National Provider Identifier
1659404861
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T004122-1 Issued in NY
Practice address
660 Stewart Ave
Garden City, NY 11530-4708
Phone
(516) 745-0737
Fax
(516) 745-1514
NPI assigned
Mar 14, 2007
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T004122-1 NY Primary

Addresses

Primary practice location

660 Stewart Ave
Garden City, NY 11530-4708

Mailing address

660 Stewart Ave
Garden City, NY 11530-4708
Phone (516) 745-0737

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000575 NY Practitioner - Optometry 2163555855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

372 Cochran PL
Valley Stream, NY 11581-3245

90 Nassau Ave
Plainview, NY 11803-3609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T004122-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Optical Inc Optometrist CurrentSince Aug 30, 2012 Accepting new patients

Locations

481 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 504-3203

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1659404861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304708",
            "telephone_number": "516-745-0737",
            "fax_number": "516-745-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304708",
            "telephone_number": "516-745-0737",
            "fax_number": "516-745-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUNDLICH",
        "first_name": "LEE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.