Active NPI
Simrit Kaur Virk, OD
- Optometrist
- Northport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009139-01
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 261-4400
- NPI assigned
- Aug 29, 2020
- Last updated
- Aug 29, 2020
- Sex
- Female
- 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 | TUV009139-01 | NY | Primary |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
14 Capel Dr
Dix Hills, NY 11746-5803
Phone (516) 232-3210
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Simrit.Virk@va.gov | Direct |
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 |
|---|---|---|---|
| TUV009139-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Vision and Contact Lens Services, Inc. | Optometrist | Current | Accepting new patients |
Locations
160 Walt Whitman Rd
Ste 1021B
Huntington Station, NY 11746
Phone (631) 351-5355
502 Smith Haven Mall
Lake Grove, NY 11755
Phone (631) 257-3036
3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108
Interoperability endpoints
- simrit.virk@va.gov
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.
-
- Optometrist
- Huntington Station, NY
- NPI 1134892763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1790398634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CAPEL DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465803",
"telephone_number": "516-232-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-261-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRK",
"first_name": "SIMRIT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009139-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Simrit.Virk@va.gov",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "79 Middleville Rd",
"city": "Northport",
"state": "NY",
"country_code": "US",
"postal_code": "117682200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northport, NY
- Victoria Vovsha P.C. (Maximum Vitality)
- Village of Northport
- Village Physical Therapy, P.C.
- Village Speech and Language PLLC
- Jorge Octavio Villella III
- Visiting Nurse Service and Hospice of Suffolk Inc
- Visiting Nurse Service and Hospice of Suffolk Inc.
- Visiting Nurse Service and Hospice of Suffolk Inc.
- Visiting Nurse Service and Hospice of Suffolk, Inc
- Sundar Viswanathan, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.