Individual provider Active NPI

Marc Charles Epstein, O.D.

  • Optometrist
  • Great Neck, NY
National Provider Identifier
1851434344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003345-1 Issued in NY
Practice address
23 Bond St
Great Neck, NY 11021-2025
Phone
(516) 487-6660
Fax
(516) 487-6648
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT003345-1 NY Primary

Addresses

Primary practice location

23 Bond St
Great Neck, NY 11021-2025

Mailing address

23 Bond St
Great Neck, NY 11021-2025
Phone (516) 487-6660

Other identifiers 1

IdentifierTypeStateIssuer
00329671MedicaidNY

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
I20091021000705 NY Practitioner - Optometry 7012054182 Reassigns benefits to 2 organizations
Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Bond St
Great Neck, NY 11021-2019
Phone (516) 487-6660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT003345-1NYMDOptometrist
003345NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. CurrentSince Sep 16, 2009 Accepting new patients
Jamaica Hospital CurrentSince Aug 14, 2011 Accepting new patients
Jamaica Hospital CurrentSince Aug 14, 2011 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. Past Accepting new patients

Locations

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13420 Jamaica Ave
Fl 2
Richmond Hill, NY 11418

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851434344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212025",
            "telephone_number": "516-487-6660",
            "fax_number": "516-487-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212025",
            "telephone_number": "516-487-6660",
            "fax_number": "516-487-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "MARC",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003345-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.