Active NPI
Michael Block, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003723
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003723 | NY | MD | Optometrist |
| 003723 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Central Optical Co Inc | Optometrist | Current | Accepting new patients |
| Visiting Eyecare Service, Inc. | Optometrist | Current | Accepting new patients |
| Eye Care Vision Optometry PC | Optometrist | Current | Accepting new patients |
| Krystal Klear Optical Inc. | Optometrist | Current | 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
- 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.
-
- Optometrist
- Staten Island, NY
- NPI 1851983654
-
- Optometrist
- New York, NY
- NPI 1649221268
-
- Optometrist
- W Hempstead, NY
- NPI 1720065014
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.