NPIMap

Organization Active NPI

Pediatric Ophthalmology P.C.

Doing business as Pediatric Eye MD

  • Ophthalmology Physician
  • Fresh Meadows, NY
National Provider Identifier
1942318563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PEDIATRIC OPHTHALMOLOGY P.C.
Doing business as
Pediatric Eye MD
Practice address
19213 Union Tpke
Fresh Meadows, NY 11366-1865
Phone
(718) 468-9800
Fax
(718) 468-0600
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura Lichtenstein
Title
Practice Administrator
Phone
(718) 468-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

19213 Union Tpke
Fresh Meadows, NY 11366-1865

Mailing address

19213 Union Turnpike
Fresh Meadows, NY 11366
Phone (718) 468-9800

Other names 1

  • Pediatric Eye MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070706000548 NY Part B Supplier - Clinic/Group Practice 0042109670 Receives reassigned benefits from 3 practitioners
Practice locations: Fresh Meadows, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

19213 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 468-9800

3905 61st St
Woodside, NY 11377
Phone (718) 577-5069

Interoperability endpoints

  • Direct secure messaging: kjohnson@pediatriceyemd.intellechartdirect.net
  • Direct secure messaging: ezhu@pediatriceyemd.intellechartdirect.net
  • Direct secure messaging: rhouse@pediatriceyemd.intellechartdirect.net
  • Direct secure messaging: elichtenstein@pediatriceyemd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942318563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19213 UNION TURNPIKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-468-9800",
            "fax_number": "718-468-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19213 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661865",
            "telephone_number": "718-468-9800",
            "fax_number": "718-468-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LICHTENSTEIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-468-9800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Eye MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.