Individual provider Active NPI

Stephanie Tin, O.D.

  • Optometrist
  • Bellmore, NY
National Provider Identifier
1891136719
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008024 Issued in NY
Practice address
2450 Merrick Rd
Bellmore, NY 11710-5704
Phone
(516) 783-0300
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008024 NY Primary

Addresses

Primary practice location

2450 Merrick Rd
Bellmore, NY 11710-5704

Mailing address

2450 Merrick Rd
Bellmore, NY 11710-5704
Phone (516) 783-0300

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
I20140110000720 NY Practitioner - Optometry 2163650581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zench Eye Care and Ophthalmology PLLCGroup PAC ID 0042648396, 4 clinicians

Practice addresses (Care Compare)

2450 Merrick Rd
Bellmore, NY 11710-5704
Phone (516) 504-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008024NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zench Eye Care and Ophthalmology PLLC CurrentSince Jan 27, 2020 Accepting new patients

Locations

2450 Merrick Rd
Bellmore, NY 11710
Phone (516) 504-2020

1010 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 504-2020

560 Northern Blvd
Great Neck, NY 11021
Phone (516) 466-6165

158 Main St
Huntington, NY 11743
Phone (631) 427-1690

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1891136719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105704",
            "telephone_number": "516-783-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105704",
            "telephone_number": "516-783-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.