Active NPI
Ophthalmic Consultants of Long Island
- Specialist
- Jackson Heights, NY
National Provider Identifier
1720156458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 193409
- Legal business name
- OPHTHALMIC CONSULTANTS OF LONG ISLAND
- Practice address
- 3742 73Rd St
Jackson Heights, NY 11372-6246 - Phone
- (718) 426-3736
- Fax
- (718) 426-4474
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Oceanside, NY
- NPI 1568576296
-
- Optometrist
- Rockville Centre, NY
- NPI 1205831724
-
- Medical Physician Assistant
- Rockville Centre, NY
- NPI 1023188059
National Provider Directory
National Provider Directory- Tax ID family
- Avi Wallerstein MD
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
- NPI 1154830701
-
- Durable Medical Equipment & Medical Supplies
- West Nyack, NY
- NPI 1316660376
-
- Ophthalmology Physician
- Bethpage, NY
- NPI 1386141331
Locations
3742 73rd St
Jackson Hts, NY 11372
Phone (718) 426-3739
266 Merrick Rd
Ste 110
Lynbrook, NY 11563
Phone (516) 766-2519
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Burke
- Title
- Ceo
- Phone
- (516) 872-8309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 193409 | NY | Primary |
Addresses
Primary practice location
3742 73Rd St
Jackson Heights, NY 11372-6246
Mailing address
266 Merrick Rd
Suite 110
Lynbrook, NY 11563-2640
Phone (516) 872-8309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245271600 | Other | NY | NPI GROUP# SUFFOLK |
| 1285675660 | Other | NY | NPI GROUP# NASSAU |
NPI Registry JSON
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720156458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 MERRICK RD",
"address_2": "SUITE 110",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632640",
"telephone_number": "516-872-8309",
"fax_number": "516-872-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 73RD ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726246",
"telephone_number": "718-426-3736",
"fax_number": "718-426-4474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC CONSULTANTS OF LONG ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-872-8309"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "193409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP# SUFFOLK",
"identifier": "1245271600",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP# NASSAU",
"identifier": "1285675660",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.