Optometry Associates of Wantagh, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV4934 Issued in NY

Legal business name

OPTOMETRY ASSOCIATES OF WANTAGH, PC

Practice address

3448 Jerusalem Ave
Wantagh, NY 11793-2024

Phone

(516) 781-2822

NPI assigned

Apr 18, 2008

Last updated

Nov 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Neil Rubin, ODNPI 1871583484

Title

Owner

Phone

(516) 781-2822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neil Rubin

  • Optometrist
  • Wantagh, NY
  • NPI 1871583484
  Medicare reassignment NPD Authorized official
• Paula I Handell, OD

  • Corneal and Contact Management Optometrist
  • Roslyn Heights, NY
  • NPI 1427108190
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1750555843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 JERUSALEM AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932024",
            "telephone_number": "516-781-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 JERUSALEM AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932024",
            "telephone_number": "516-781-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY ASSOCIATES OF WANTAGH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-781-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen O'Neil, LMSW
• Beth Robin Obergh, P.T.
• Olasunkanmi Olalere
• On Time Care Transport Ny LLC
• Keri L Oppenheimer, MS, CCC-A
• Optyx LLC
• Suzanne Orellano, LMSW
• Hailey Orgass
• Emily Kannen Ortmuller
• Andrew Pacinelli, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.