Summit Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004284 Issued in NY

Legal business name

SUMMIT VISION CARE, INC.

Practice address

150 Islip Ave
Suite 12
Islip, NY 11751-3222

Phone

(631) 581-5100

Fax

(631) 581-7512

NPI assigned

Feb 11, 2008

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Forur, O.D.NPI 1023081247

Title

Pres.

Phone

(631) 581-5100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Forur, O.D.

  • Optometrist
  • Islip, NY
  • NPI 1023081247
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1659559862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE",
            "address_2": "SUITE 12",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-5100",
            "fax_number": "631-581-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE",
            "address_2": "SUITE 12",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-5100",
            "fax_number": "631-581-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "FORUR",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "631-581-5100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00887274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin L Stern, DDS
• Marcelina Migdalia Stewart, RN
• Melissa Sonya Stockman, RN-CS, ANP, PNP
• Katarina R Storer
• Suffolk Occupational Therapy PLLC
• Christopher Michael Tarello, LCSW
• Cassandra Rose Tavella, LMSW
• Teaching Family Islip
• Brendan MC Dade Tedrick, MS
• The Juniper House, Incorporated

• Optometrist in Islip, NY
• Providers in Islip, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.