Individual provider Active NPI

Lina Ni, OD

  • Optometrist
  • Glen Cove, NY
National Provider Identifier
1891148284
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008435 Issued in NY
Practice address
1 School St Unit 103
Glen Cove, NY 11542-2529
Phone
(516) 686-6294
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008435 NY Primary

Addresses

Primary practice location

1 School St Unit 103
Glen Cove, NY 11542-2529

Mailing address

1 School St Unit 103
Glen Cove, NY 11542-2529
Phone (516) 686-6294

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
I20161208000341 NY Practitioner - Optometry 3274813217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 School St
Unit 103
Glen Cove, NY 11542-2529
Phone (516) 686-6294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lina Ni Optometry PLLC Optometrist CurrentSince Mar 26, 2020 Accepting new patients
LMNW Holdings LLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Corona Optometry PC Optometrist PastSince Nov 8, 2016 Accepting new patients

Locations

1 School St
Unit 103
Glen Cove, NY 11542
Phone (516) 686-6294

37 Glen St
Ste 8
Glen Cove, NY 11542

Organizations & group practices 3

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1891148284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST UNIT 103",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422529",
            "telephone_number": "516-686-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST UNIT 103",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422529",
            "telephone_number": "516-686-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "LINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.