Queens Eyecare Physician PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

112689 Issued in NY

Legal business name

QUEENS EYECARE PHYSICIAN PC

Practice address

200 20 44TH Avenue
Bayside, NY 11361-2537

Phone

(718) 281-4500

Fax

(718) 631-4901

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Alan Shapiro, MD

Title

Owner

Phone

(718) 281-4500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Adam Harry Bloom, M.D.

  • Ophthalmology Physician
  • Huntington, NY
  • NPI 1740375047
  NPD (past)
• Theodora Niki Petratos, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1356585673
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1689608754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 20 44TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612537",
            "telephone_number": "718-281-4500",
            "fax_number": "718-631-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 20 44TH AVENUE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612537",
            "telephone_number": "718-281-4500",
            "fax_number": "718-631-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS EYECARE PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-281-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris S Pugachevsky, PT
• Clins Puthussery Varghese
• Jimmy Qiu
• Mary Elizabeth Queally, REGISTERED NURSE
• Queens County Physical Therapy and Wellness,PC
• Queens Rehabilitation & Diagnostics
• Therese Elizabeth Quinn
• Coral Elise Quintyne, LPN
• Euna Veronica Ra
• Sharon M. Rafaloff, D.P.M.

• Ophthalmology Physician in Bayside, NY
• Providers in Bayside, 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 Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.