Organization Active NPI

Metropolitan Eye Surgery, PC

  • Ophthalmology Physician
  • Astoria, NY
National Provider Identifier
1699979930
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
136859 Issued in NY
Legal business name
METROPOLITAN EYE SURGERY, PC
Practice address
4207 30TH Ave
Astoria, NY 11103-2910
Phone
(718) 204-6667
Fax
(718) 956-8514
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Heather K Arnett
Title
Administrator/Manager
Phone
(718) 204-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 136859 NY Primary

Addresses

Primary practice location

4207 30TH Ave
Astoria, NY 11103-2910

Mailing address

4207 30TH Ave
Astoria, NY 11103-2910
Phone (718) 204-6667

Other identifiers 2

IdentifierTypeStateIssuer
00593137MedicaidNY
DS233OtherNYOXFORD HEALTH PLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1699979930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-6667",
            "fax_number": "718-956-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-6667",
            "fax_number": "718-956-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYE SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "718-204-6667"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "136859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "DS233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.