Active NPI
Lenore Susan Katz
- Optometrist
- Elmhurst, NY
National Provider Identifier
1669750295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4296
- Practice address
- 9015 Queens Blvd
Elmhurst, NY 11373-4900 - Phone
- (718) 592-5200
- Fax
- (718) 592-7902
- NPI assigned
- Aug 1, 2011
- 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 | 4296 | NY | Primary |
Addresses
Primary practice location
9015 Queens Blvd
Elmhurst, NY 11373-4900
Mailing address
90-15 Queens Blvd.
Queens Center Mall
Elmhurst, NY 11373
Phone (718) 592-5200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4296 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1669750295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90-15 QUEENS BLVD.",
"address_2": "QUEENS CENTER MALL",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-592-5200",
"fax_number": "718-592-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734900",
"telephone_number": "718-592-5200",
"fax_number": "718-592-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "LENORE",
"middle_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "4296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.