Active NPI
Barry Scholnick, O.D.
- Optometrist
- Elmont, NY
National Provider Identifier
1790820462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004558
- Practice address
- 1445 Hempstead Tpke
Elmont, NY 11003-2404 - Phone
- (516) 616-1771
- NPI assigned
- Feb 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004558 | NY | Primary |
Addresses
Primary practice location
1445 Hempstead Tpke
Elmont, NY 11003-2404
Mailing address
704 Wenwood Dr
East Meadow, NY 11554-4943
Phone (516) 485-2913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00916418 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041207000136 | NY | Practitioner - Optometry | 9537125018 | Practice locations: East Meadow, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
704 Wenwood Dr
East Meadow, NY 11554-4943
Phone (516) 508-6542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004558 | NY | MD | Optometrist |
| 004558 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790820462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 WENWOOD DR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115544943",
"telephone_number": "516-485-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032404",
"telephone_number": "516-616-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLNICK",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00916418",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.