Active NPI
Sara Erlich
- Optometrist
- Great Neck, NY
National Provider Identifier
1669619490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007365-1
- Practice address
- 33 Hicks LN
Apt. E
Great Neck, NY 11024-2026 - Phone
- (516) 508-1727
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007365-1 | NY | Primary |
| Optometrist | 152W00000X | 270A00618400 | NJ |
Addresses
Primary practice location
33 Hicks LN
Apt. E
Great Neck, NY 11024-2026
Mailing address
53 Van Buren Ave
Teaneck, NJ 07666-4142
Phone (201) 836-7069
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007365-1 | NY | MD | Optometrist |
| 007365 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1649563636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1669619490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 VAN BUREN AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664142",
"telephone_number": "201-836-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 HICKS LN",
"address_2": "APT. E",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110242026",
"telephone_number": "516-508-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERLICH",
"first_name": "SARA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007365-1",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00618400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.