Individual provider Active NPI

Leo Ollech, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1841269289
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0043741 Issued in NY
Practice address
1552 Coney Island Ave
Brooklyn, NY 11230
Phone
(718) 258-0315
Fax
(718) 258-6622
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0043741 NY Primary

Addresses

Primary practice location

1552 Coney Island Ave
Brooklyn, NY 11230

Mailing address

1231 E 10 St
Brooklyn, NY 11230
Phone (718) 253-6071

Other identifiers 1

IdentifierTypeStateIssuer
008238366MedicaidNY

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
I20040716000946 NY Practitioner - Optometry 5991784597 Practice locations: Rockaway Park, NY; Brooklyn, NY; Jamaica Estates, NY; Flushing, NY; Far Rockaway, NY; East Elmhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1231 E 10TH St
Brooklyn, NY 11230-4718
Phone (718) 253-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004374NYMDMental Health Counselor
TUV0043741NYMDOptometrist
4374NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Robert Maximilan Koster, MD PC Past Accepting new patients
Dr. Leo Ollech Optometrist PastSince Jan 1, 1990 Accepting new patients
Bay Physmed, P.C. Past Accepting new patients
Optique Elegance of New York, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1841269289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E 10 ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-253-6071",
            "fax_number": "718-253-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-258-0315",
            "fax_number": "718-258-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLECH",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0043741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008238366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.