Individual provider Active NPI

Olga Pikus, O.D.

  • Optometrist
  • Floral Park, NY
National Provider Identifier
1821351354
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007868 Issued in NY
Practice address
342 Jericho Tpke
Floral Park, NY 11001-2108
Phone
(516) 354-2020
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007868 NY Primary

Addresses

Primary practice location

342 Jericho Tpke
Floral Park, NY 11001-2108

Mailing address

342 Jericho Tpke
Floral Park, NY 11001-2108
Phone (516) 354-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000168 NY Practitioner - Optometry 0042468951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

342 Jericho Tpke
Floral Park, NY 11001-2108
Phone (516) 354-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007868NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc E Wietschner MD P C CurrentSince Jan 1, 2015 Accepting new patients
Ophthalmic Consultants of Long Island CurrentSince Oct 1, 2021 Accepting new patients
Ophthalmic Consultants of Long Island Past Accepting new patients

Locations

342 Jericho Tpke
Floral Park, NY 11001
Phone (516) 354-2020

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Interoperability endpoints

  • Direct secure messaging: olga.pikus.p1@direct.ocli.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1821351354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012108",
            "telephone_number": "516-354-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012108",
            "telephone_number": "516-354-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKUS",
        "first_name": "OLGA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.