Individual provider Active NPI

Michael Block, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1750334967
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003723 Issued in NY
Practice address
369 Madison Ave
New York, NY 10017-3108
Phone
(212) 599-1220
Fax
(212) 687-5414
NPI assigned
May 18, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003723 NY Primary

Addresses

Primary practice location

369 Madison Ave
New York, NY 10017-3108

Mailing address

475 Wilson St
West Hempstead, NY 11552-1936
Phone (516) 485-0424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000286 NY Practitioner - Optometry 7911918099 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003723NYMDOptometrist
003723NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Central Optical Co Inc Optometrist CurrentSince Jan 30, 2014 Accepting new patients
Visiting Eyecare Service, Inc. Optometrist CurrentSince Sep 1, 1999 Accepting new patients
Eye Care Vision Optometry PC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Krystal Klear Optical Inc. Optometrist CurrentSince Sep 27, 2024 Accepting new patients
Epic Medical Group,Inc Past Accepting new patients

Locations

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

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

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

342 Madison Ave
New York, NY 10173
Phone (212) 599-1220

369 Madison Ave
New York, NY 10017
Phone (212) 599-1220

62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1750334967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WILSON ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521936",
            "telephone_number": "516-485-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173108",
            "telephone_number": "212-599-1220",
            "fax_number": "212-687-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.