Organization Active NPI

H&R Optical Services Inc.

  • Optometrist
  • Freeport, NY
National Provider Identifier
1912030339
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
H&R OPTICAL SERVICES INC.
Practice address
21 W Merrick Rd
Freeport, NY 11520-3826
Phone
(516) 379-4041
Fax
(516) 771-6794
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Christopher Gentile, O.D.NPI 1235118134
Title
Optometrist
Phone
(516) 379-4041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

21 W Merrick Rd
Freeport, NY 11520-3826

Mailing address

21 W Merrick Rd
Freeport, NY 11520-3826
Phone (516) 379-4041

Other identifiers 1

IdentifierTypeStateIssuer
03418733MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001077 NY Part B Supplier - Clinic/Group Practice 6204725930 Receives reassigned benefits from 5 practitioners
Practice locations: Freeport, NY

National Provider Directory

National Provider Directory

Locations

21 W Merrick Rd
Unit 2
Freeport, NY 11520
Phone (516) 379-4041

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1912030339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203826",
            "telephone_number": "516-379-4041",
            "fax_number": "516-771-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203826",
            "telephone_number": "516-379-4041",
            "fax_number": "516-771-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&R OPTICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-379-4041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03418733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.