Individual provider Active NPI

Steven Barry Agin, O.D.

  • Optometrist
  • Hewlett, NY
National Provider Identifier
1710123526
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3327 Issued in NY
Practice address
1344 Broadway
Hewlett, NY 11557-1356
Phone
(516) 295-8600
Fax
(516) 295-5630
NPI assigned
Dec 29, 2008
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3327 NY Primary

Addresses

Primary practice location

1344 Broadway
Hewlett, NY 11557-1356

Mailing address

1344 Broadway
Hewlett, NY 11557-1373
Phone (516) 295-8600

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

State licenses

LicenseStateTypeSpecialty
3327NYMDFoot & Ankle Surgery Podiatrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1710123526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571373",
            "telephone_number": "516-295-8600",
            "fax_number": "516-295-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571356",
            "telephone_number": "516-295-8600",
            "fax_number": "516-295-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "STEVEN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.