New York Eye Institute and Laser Vision Center, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

215965 Issued in NY

Legal business name

NEW YORK EYE INSTITUTE AND LASER VISION CENTER, LLC

Practice address

90 Crystal Run Rd
Middletown, NY 10941-7101

Phone

(845) 692-7066

NPI assigned

Oct 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ayman Z. Matta, M.D.

Title

Surgeon Director

Phone

(845) 692-7066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1992015903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417101",
            "telephone_number": "845-692-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK EYE INSTITUTE AND LASER VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "SURGEON DIRECTOR",
        "authorized_official_telephone_number": "845-692-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Nelson, M.D.
• Kathleen Nemeth
• Jawad M Nesheiwat, M.D.
• New Path Health and Infusion Center
• New York Dialysis Services, Inc.
• Dana Newman
• Kelly NG
• Alexander Nguyen, DO
• Pamela H. Nguyen, D.O.
• Samantha Josephine Nicholas

• Ophthalmology Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.