Organization Active NPI

South Shore Eye Care, LLP

  • Ophthalmology Physician
  • Wantagh, NY
National Provider Identifier
1700995602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTH SHORE EYE CARE, LLP
Practice address
2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone
(516) 785-3900
Fax
(516) 783-0033
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Stein, M.D.NPI 1841261369
Title
Senior Partner
Phone
(516) 785-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2185 Wantagh Ave
Wantagh, NY 11793-3917

Mailing address

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000543 NY Part B Supplier - Clinic/Group Practice 4880585967 Receives reassigned benefits from 13 practitioners
Practice locations: Wantagh, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1090887South Shore Eye Care LLP2185 Wantagh Avenue, Wantagh, NY 11793Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

2185 Wantagh Ave
Wantagh, NY 11793
Phone (516) 783-3900

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700995602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-783-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-783-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE EYE CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "516-785-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.