Active NPI
Stephen Morgenstern, O.D.
- Vision Therapy Optometrist
- East Northport, NY
National Provider Identifier
1710030127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- T002964-1
- Practice address
- 554 Larkfield Rd
Suite 204
East Northport, NY 11731-4205 - Phone
- (631) 266-2424
- Fax
- (631) 266-2425
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | T002964-1 | NY | Primary |
Addresses
Primary practice location
554 Larkfield Rd
Suite 204
East Northport, NY 11731-4205
Mailing address
28 Concerto CT
Eastport, NY 11941-1628
Phone (631) 801-2411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T002964-1 | NY | MD | Vision Therapy Optometrist |
| 002964 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Eye Surgical Care, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Brentwood, NY
- NPI 1013006576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710030127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CONCERTO CT",
"city": "EASTPORT",
"state": "NY",
"postal_code": "119411628",
"telephone_number": "631-801-2411",
"fax_number": "631-266-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "SUITE 204",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-266-2424",
"fax_number": "631-266-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGENSTERN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "T002964-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.