Active NPI
Leevision Ophthalmology Services PLLC
- Ophthalmology Physician
- Flushing, NY
National Provider Identifier
1760633788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 205979
- Legal business name
- LEEVISION OPHTHALMOLOGY SERVICES PLLC
- Practice address
- 142-18 38TH Ave.
Suite #1a
Flushing, NY 11354 - Phone
- (718) 461-5050
- Fax
- (718) 461-5656
- NPI assigned
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David H. Lee
- Title
- President
- Phone
- (718) 461-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 205979 | NY | Primary |
Addresses
Primary practice location
142-18 38TH Ave.
Suite #1a
Flushing, NY 11354
Mailing address
142-18 38TH Ave.
Suite #1a
Flushing, NY 11354
Phone (718) 461-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01740789 | Medicaid | NY | |
| 94T632 | Other | NY | EMPIRE MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14218 38th Ave
Ste Cfa
Flushing, NY 11354
Phone (718) 461-5050
Interoperability endpoints
- dlee@lvos.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Flushing, NY
- NPI 1003848714
-
- Optometrist
- Garden City, NY
- NPI 1437427986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1760633788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142-18 38TH AVE.",
"address_2": "SUITE #1A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-461-5050",
"fax_number": "718-461-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142-18 38TH AVE.",
"address_2": "SUITE #1A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-461-5050",
"fax_number": "718-461-5656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEEVISION OPHTHALMOLOGY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-461-5050"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "205979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01740789",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "94T632",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.