Millennium Ophthalmology

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

200408 Issued in NY

Legal business name

MILLENNIUM OPHTHALMOLOGY

Practice address

271 Doughty Blvd
Inwood, NY 11096-2135

Phone

(516) 371-1550

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Luck, D.O.NPI 1588664379

Title

Provider

Phone

(516) 371-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Richard Luck, D.O.

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1588664379

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1912022427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962135",
            "telephone_number": "516-371-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962135",
            "telephone_number": "516-371-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "516-371-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "200408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayven Mason, FNP
• Roma Gabrielle McLawrence
• Liza Mehta, R.PH.
• Carlos A Menera, MD
• Melissa Meric, LCSW
• Amy Mohedano, LMSW
• Lina M Moreno
• Donna Marie Murphy, PA-C
• Nassau Medical Practice, PC
• Ruben Antonio Navarro, R.PH.

• Ophthalmology Physician in Inwood, NY
• Providers in Inwood, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.