Organization Active NPI

Laser and Microsurgery, PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1871508440
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LASER AND MICROSURGERY, PC
Practice address
587 Kings Hwy
Brooklyn, NY 11223-2021
Phone
(718) 627-0303
Fax
(718) 336-8103
NPI assigned
Jul 30, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mr. Jack Hulla
Title
Billing Manager
Phone
(718) 627-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

587 Kings Hwy
Brooklyn, NY 11223-2021

Mailing address

587 Kings Hwy
Brooklyn, NY 11223-2021
Phone (718) 627-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000281 NY Part B Supplier - Clinic/Group Practice 0244313450 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY; Rego Park, NY; Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2056513Laser & Microsurgery, PC587 Kings Highway, Brooklyn, NY 11223Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

1301 Avenue J
#2
Brooklyn, NY 11230

160 E 56th St
Ste 900
New York, NY 10022
Phone (212) 758-3838

9814 65th Ave
Rego Park, NY 11374
Phone (718) 275-7070

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1871508440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232021",
            "telephone_number": "718-627-0303",
            "fax_number": "718-336-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232021",
            "telephone_number": "718-627-0303",
            "fax_number": "718-336-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER AND MICROSURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HULLA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-627-0303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.