Individual provider Active NPI

Leonard Feiner, MD

  • Ophthalmology Physician
  • Lawrence, NY
National Provider Identifier
1871604645
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
116934-1 Issued in NY
Practice address
360 Central Ave
Lawrence, NY 11559-1619
Phone
(516) 569-5644
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 116934-1 NY Primary

Addresses

Primary practice location

360 Central Ave
Lawrence, NY 11559-1619

Mailing address

360 Central Ave
Lawrence, NY 11559-1619
Phone (516) 569-5644

Other identifiers 1

IdentifierTypeStateIssuer
00216399MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000013 NY Practitioner - Ophthalmology 2769565951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116934-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DS Eye Care LLC CurrentSince Nov 21, 2021 Accepting new patients

Locations

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

Networks

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

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1871604645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591619",
            "telephone_number": "516-569-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591619",
            "telephone_number": "516-569-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINER",
        "first_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "116934-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00216399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.