Visiting Eyecare Service, Inc.
Organization Active NPI Optometrist · W Hempstead, NY
NPI 1720065014 · NPPES record last updated Mar 18, 2014
Key facts
- NPI
- 1720065014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Shira Fichtenbaum, MBA
- Title
- Administrator
- Phone
- (516) 565-2616
Practitioners 9
-
Michael Block, O.D.
-
Joseph Zupnick, O.D.
-
Paola A Duarte, O.D
-
Sherin George, OD
-
Kathleen Ann Johnson, O.D.
-
Kristopher Trenton Kile, O.D.
-
Kristin Ann Protosow, OPTOMETRIST, OD
-
Laura A. Sinski, O.D.
-
Laura Tujak, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070206000481 | NY | Part B Supplier - Clinic/Group Practice | 1658260823 |
Receives reassigned benefits from 2 practitioners Practice locations: West Hempstead, NY |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01561742 | Medicaid | NY |
Other providers in W Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.