Active NPI
Carl Rothman, FNAO
- Contact Lens Fitter
- Oakland Gardens, NY
National Provider Identifier
1760506760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- License
- C4579
- Practice address
- 21411 73Rd Ave
Oakland Gardens, NY 11364-2947 - Phone
- (718) 225-5533
- Fax
- (718) 225-5803
- NPI assigned
- Mar 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | C4579 | NY | Primary |
| Optician | 156FX1800X | C4579 | NY |
Addresses
Primary practice location
21411 73Rd Ave
Oakland Gardens, NY 11364-2947
Mailing address
2529 Kerry LN
Bellmore, NY 11710-5103
Phone (516) 781-6752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4579 | NY | MD | Contact Lens Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Park Vision Center, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Oakland Gardens, NY
- NPI 1164649133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760506760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 KERRY LN",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105103",
"telephone_number": "516-781-6752",
"fax_number": "516-781-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21411 73RD AVE",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642947",
"telephone_number": "718-225-5533",
"fax_number": "718-225-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "CARL",
"name_prefix": "Mr.",
"credential": "FNAO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "NY",
"license": "C4579",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C4579",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.