Active NPI
Philip Meltzer, O.D.
- Optometrist
- Great Neck, NY
National Provider Identifier
1952467128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T-004437-1
- Practice address
- 80 Middle Neck Rd
Great Neck, NY 11021-1243 - Phone
- (516) 487-3074
- Fax
- (516) 487-2581
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T-004437-1 | NY | Primary |
Addresses
Primary practice location
80 Middle Neck Rd
Great Neck, NY 11021-1243
Mailing address
2978 Hewlett Ave
Merrick, NY 11566-5311
Phone (516) 867-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-004437-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1952467128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 HEWLETT AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665311",
"telephone_number": "516-867-2020",
"fax_number": "516-487-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MIDDLE NECK RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211243",
"telephone_number": "516-487-3074",
"fax_number": "516-487-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTZER",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T-004437-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.