Organization Active NPI

DS Eye Care LLC

  • Optometrist
  • Lawrence, NY
National Provider Identifier
1861159451
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DS EYE CARE LLC
Practice address
360 Central Ave Ste 121
Lawrence, NY 11559-1604
Phone
(516) 569-5644
Fax
(516) 569-4601
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. David Sanders, ODNPI 1760978886
Title
OD/Owner
Phone
(516) 569-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

360 Central Ave Ste 121
Lawrence, NY 11559-1604

Mailing address

360 Central Ave Ste 121
Lawrence, NY 11559-1604
Phone (516) 569-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223000820 NY Part B Supplier - Clinic/Group Practice 8022409234 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, NY

National Provider Directory

National Provider Directory

Locations

360 Central Ave
Ste 121
Lawrence, NY 11559
Phone (516) 569-5644

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1861159451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 121",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591604",
            "telephone_number": "516-569-5644",
            "fax_number": "516-569-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 121",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591604",
            "telephone_number": "516-569-5644",
            "fax_number": "516-569-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "516-569-5644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.