Vincent P Basilice M D P C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

127126 Issued in NY

Legal business name

VINCENT P BASILICE M D P C

Practice address

3400 Nesconset Hwy
Suite 107
East Setauket, NY 11733-3327

Phone

(631) 751-2020

Fax

(631) 751-0048

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Vincent Prescott Basilice, MDNPI 1396868527

Title

Medical Director/ President

Phone

(631) 751-2020

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• The Ophthalmic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent P Basilice, M.D.,P.C.

  • Ophthalmology Physician
  • East Setauket, NY
  • NPI 1396868527
  Medicare reassignment NPD Authorized official
• Michael S Conners, MD

  • Ophthalmology Physician
  • East Setauket, NY
  • NPI 1497772958
  Medicare reassignment NPD
• Victor Giamos, MD

  • Ophthalmology Physician
  • Hauppauge, NY
  • NPI 1245534072
  Medicare reassignment NPD
• Alexander Llinas, M.D., PH.D.

  • Ophthalmology Physician
  • East Setauket, NY
  • NPI 1194900365
  Medicare reassignment NPD
• Alex Justin Schaffer, O.D.

  • Optometrist
  • Setauket, NY
  • NPI 1538476171
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1679588164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 107",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-2020",
            "fax_number": "631-751-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 107",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-2020",
            "fax_number": "631-751-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT P BASILICE M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BASILICE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PRESCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ PRESIDENT",
        "authorized_official_telephone_number": "631-751-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005780-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4104",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "127126",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "187993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441181927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ophthalmic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larisa V Venezia, DO
• Josefina Vergel, FNP-C
• Rashmi Verma, MD
• Matthew P Vetrano, PA-C
• Suzanne Villate, PHARMD, RPH
• Vincent P. Detrinis, D.C., P.C.
• Latoya Yolanda Vincent, FNP
• Ann Visser, CNM
• Stephen C Vlay, M.D.
• Kristina Vogel

• Ophthalmology Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.