Active NPI
Long Island Eye Surgeons, PC
- Ophthalmology Physician
- Manhasset, NY
National Provider Identifier
1699892976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 109382
- Legal business name
- LONG ISLAND EYE SURGEONS, PC
- Practice address
- 2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502 - Phone
- (516) 627-5113
- Fax
- (516) 365-2817
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracey A Ortiz
- Title
- Administrator
- Phone
- (516) 627-5113
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 109382 | NY | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502
Mailing address
2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3502
Phone (516) 627-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1981 Marcus Ave
Ste E115
North New Hyde Park, NY 11042
Phone (516) 627-5113
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Manhasset, NY
- NPI 1205816774
-
- Ophthalmology Physician
- New Hyde Park, NY
- NPI 1366415135
-
- Ophthalmology Physician
- Manhasset, NY
- NPI 1740454032
-
- Ophthalmology Physician
- Manhasset, NY
- NPI 1942270145
-
- Optometrist
- North New Hyde Park, NY
- NPI 1154962744
-
- Optometrist
- Manhasset, NY
- NPI 1215917703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1699892976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 NORTHERN BLVD",
"address_2": "SUITE 208",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303502",
"telephone_number": "516-627-5113",
"fax_number": "516-365-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 NORTHERN BLVD",
"address_2": "SUITE 208",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303502",
"telephone_number": "516-627-5113",
"fax_number": "516-365-2817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND EYE SURGEONS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-627-5113",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "109382",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.