Baldwin Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

005434 Issued in NY

Legal business name

BALDWIN OPTOMETRY PC

Practice address

2429 Grand Ave
Baldwin, NY 11510-3219

Phone

(516) 223-0528

Fax

(516) 223-0730

NPI assigned

Nov 14, 2007

Last updated

Apr 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles J Deluca, O.D.NPI 1659492452

Title

President

Phone

(516) 223-0528

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Joseph Deluca, O.D.

  • Optometrist
  • Baldwin, NY
  • NPI 1659492452
  Medicare reassignment Care Compare group Authorized official
• Dana V Turek, O.D.

  • Optometrist
  • Melville, NY
  • NPI 1841417029
  Medicare reassignment Care Compare group
• Yuliya Angelova, O.D.

  • Optometrist
  • Valley Stream, NY
  • NPI 1801865852
  NPD (past)
• Neil Rubin

  • Optometrist
  • Wantagh, NY
  • NPI 1871583484
  NPD (past)
• Jennifer Veronica Thomas, OD

  • Corneal and Contact Management Optometrist
  • Wantagh, NY
  • NPI 1750523528
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1699956037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103219",
            "telephone_number": "516-223-0528",
            "fax_number": "516-223-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103219",
            "telephone_number": "516-223-0528",
            "fax_number": "516-223-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-223-0528",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER- CHARLES J DELUCA OD- PTAN",
            "identifier": "A400042587",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03064115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "A100042581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baldwin Council Against Drug Abuse, Inc. (Bcada)
• Baldwin Fire District
• Baldwin Harbor Physical Therapy
• Baldwin Harbor Podiatry
• Baldwin Medical Services
• Baldwin RX Inc
• Baldwin Ufsc
• Tara Banfield, M.S. CCC-SLP
• Tunde Banhegyesi, MS.ED
• Tyra M Banks, MS, OTR/L

• Optometrist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.