Organization Active NPI

Visual Ophthalmology Services, PC

  • Ophthalmologic Surgery Clinic/Center
  • Corona, NY
National Provider Identifier
1982156535
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
209009 Issued in NY
Legal business name
VISUAL OPHTHALMOLOGY SERVICES, PC
Practice address
5548 96TH St
Corona, NY 11368-3009
Phone
(718) 271-4472
Fax
(718) 271-3011
NPI assigned
Oct 31, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Panus Romsaitong, MDNPI 1801825096
Title
Medical Director
Phone
(718) 271-4472

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

Practitioners 5

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105001065 NY Part B Supplier - Clinic/Group Practice 5890076855 Receives reassigned benefits from 5 practitioners
Practice locations: Astoria, NY; Ridgewood, NY; Corona, NY

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Ophthalmologic Surgery Clinic/Center 261QS0132X 209009 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

5548 96TH St
Corona, NY 11368-3009

Mailing address

5548 96TH St
Corona, NY 11368-3009
Phone (718) 271-4472

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
01914878MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2022.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1982156535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 96TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683009",
            "telephone_number": "718-271-4472",
            "fax_number": "718-271-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 96TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683009",
            "telephone_number": "718-271-4472",
            "fax_number": "718-271-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL OPHTHALMOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ROMSAITONG",
        "authorized_official_first_name": "PANUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-271-4472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "209009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.