Organization Active NPI

Visiting Eyecare Service, Inc.

  • Optometrist
  • W Hempstead, NY
National Provider Identifier
1720065014
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISITING EYECARE SERVICE, INC.
Practice address
320 Hempstead Ave
W Hempstead, NY 11552-2043
Phone
(516) 565-2616
NPI assigned
Dec 28, 2005
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Ms. Shira Fichtenbaum, MBA
Title
Administrator
Phone
(516) 565-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

320 Hempstead Ave
W Hempstead, NY 11552-2043

Mailing address

320 Hempstead Ave
W Hempstead, NY 11552-2043
Phone (516) 565-2616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000481 NY Part B Supplier - Clinic/Group Practice 1658260823 Receives reassigned benefits from 2 practitioners
Practice locations: West Hempstead, NY

National Provider Directory

National Provider Directory

Locations

20 Hempstead Ave
Hempstead, NY 11550
Phone (516) 565-2616

320 Hempstead Ave
West Hempstead, NY 11552
Phone (516) 565-2616

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1720065014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HEMPSTEAD AVE",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522043",
            "telephone_number": "516-565-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HEMPSTEAD AVE",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522043",
            "telephone_number": "516-565-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING EYECARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "FICHTENBAUM",
        "authorized_official_first_name": "SHIRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-565-2616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.