Patino Optometrist PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PATINO OPTOMETRIST PC

Practice address

4004 Case St
Elmhurst, NY 11373-1575

Phone

(917) 745-5869

Fax

(917) 740-1068

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Lucia Patino, OD

Title

Owner

Phone

(917) 745-5869

Specialties & licenses 1

Addresses

Other names 1

• Optica Patino Eye Care Doing business as

Locations

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1740871433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 CASE ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731575",
            "telephone_number": "917-745-5869",
            "fax_number": "917-740-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 CASE ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731575",
            "telephone_number": "917-745-5869",
            "fax_number": "917-740-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATINO OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-745-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optica Patino Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Niyati Ashokkumar Patel, M.D.
• Pratima R Patel, MD
• Swati Saumil Patel
• Vandana Patel
• Uday Pandurang Patil, MD
• Mario Daniel Patritti, D.D.S.
• Amena Patwary
• Amrita Paul, RN
• Mini Paul, NP
• Sumbal Augustine Paul, FNP

• Optometrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.