NPIMap

Organization Active NPI

Long Island Optometric Eyecare,PC

  • Optometrist
  • Mastic, NY
National Provider Identifier
1750738944
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
004799 Issued in NY
Legal business name
LONG ISLAND OPTOMETRIC EYECARE,PC
Practice address
1360 Montauk Hwy
Ste 2E
Mastic, NY 11950-2929
Phone
(631) 281-2474
Fax
(631) 281-2476
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Theresa Loscalzo Bacaris, ODNPI 1720162431
Title
Optometrist/Owner
Phone
(631) 281-2474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 004799 NY Primary

Addresses

Primary practice location

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950-2929

Mailing address

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950-2929
Phone (631) 281-2474

National Provider Directory

National Provider Directory

Locations

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950
Phone (631) 281-2474

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1750738944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTAUK HWY",
            "address_2": "STE 2E",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502929",
            "telephone_number": "631-281-2474",
            "fax_number": "631-281-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTAUK HWY",
            "address_2": "STE 2E",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502929",
            "telephone_number": "631-281-2474",
            "fax_number": "631-281-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND OPTOMETRIC EYECARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BACARIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LOSCALZO",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "631-281-2474",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.