Active NPI
Visual Ophthalmology Services, PC
- Ophthalmologic Surgery Clinic/Center
- Corona, NY
National Provider Identifier
1982156535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 209009
- 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, MD
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 209009 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01914878 | Medicaid | NY |
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.