NORTH SHORE MEDICAL & SURGICAL EYE CARE PC (NPI# 1063427847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063427847 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL & SURGICAL EYE CARE PC |
| Other Organization Name | NORTH SHORE EYE CARE HEARING SERVICES |
| Practice Address |
260 Middle Country Rd Ste 201 Smithtown NY 11787 |
| Practice Telephone | 6312658780 |
| Practice Fax Number | 6312658521 |
| Mailing Telephone | 6312658780 |
| Mailing Fax Number | 6312658521 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | DR. JEFFREY L MARTIN (OPTHAMOLOGIST) |
| Authorized Official Telephone | 6312658780 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Eye Care Hearing Services | Doing Business As Name - Organization |
| Street Address |
260 MIDDLE COUNTRY RD STE 201 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157948 | Stephen Daniel Shappell | Specialist | 260 Middle Country Rd, Suite 214, Smithtown, NY 11787-2982 | 2005-07-08 |
| 1902138233 | Thomas R Scott | Pharmacist | 260 Middle Country Rd, Suite 105, Smithtown, NY 11787 | 2010-02-11 |
| 1396077335 | Thomas Gee | Pharmacist | 260 Middle Country Rd, Smithtown, NY 11787-2982 | 2010-02-01 |
| 1871722587 | Jill A Ryan | Nurse Practitioner | 260 Middle Country Rd, 214, Smithtown, NY 11787-2982 | 2009-07-02 |
| 1053579524 | Jennifer Cassidy | Nurse Practitioner | 260 Middle Country Rd, Suite 214, Smithtown, NY 11787-2982 | 2008-05-30 |
| 1093973778 | Marjorie C. Ravitz Dpm PC | Podiatrist | 260 Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 | 2008-05-29 |
| 1497960751 | Carder Kelly | Specialist | 260 Middle Country Rd, Smithtown, NY 11787-2982 | 2007-05-11 |
| 1073735593 | Michael Fastenberg | Dermatology | 260 Middle Country Rd, Suite 208, Smithtown, NY 11787-2982 | 2007-05-03 |
| 1619067899 | Lisa Schirripa | Podiatrist | 260 Middle Country Rd, Ste 104, Smithtown, NY 11787 | 2006-10-16 |
| 1740373802 | Lisa Larocca-hulsen | Podiatrist | 260 Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547729 | Robert P Morris Md and John Romanelli Md | Ophthalmology | 222 E Main St Ste 330, Smithtown, NY 11787-2814 | 2006-10-04 |
| 1669470829 | Andrew N. Bainnson | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2005-07-12 |
| 1205313640 | John F Romanelli Md PC | Ophthalmology | 222 E Main St Ste 330, Smithtown, NY 11787-2814 | 2018-07-27 |
| 1720371248 | Long Island Home Medical Care, P.C. | Ophthalmology | 301 Maple Ave, Smithtown, NY 11787-4900 | 2011-05-17 |
| 1720242514 | Ilana Lindsay Forchheimer | Ophthalmology | 329 E Main St, Suite 10, Smithtown, NY 11787-2830 | 2008-07-11 |
| 1669633418 | Faye Knoll | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2008-06-24 |
| 1336315753 | John Mauro | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2008-05-06 |
| 1730355116 | Samuel Baharestani | Ophthalmology | 260 E Middle Country Rd, Suite 201, Smithtown, NY 11787-2982 | 2008-05-05 |
| 1942211081 | Lawrence Zweibel | Ophthalmology | 260 Middle Country Rd, Suite 201, Smithtown, NY 11787 | 2006-08-11 |
| 1437160579 | Jeffrey L Martin | Ophthalmology | 260 Middle Country Rd, Suite 201, Smithtown, NY 11787 | 2006-08-11 |
| Find all providers in SMITHTOWN | ||||
Please comment or provide details below to improve the information on NORTH SHORE MEDICAL & SURGICAL EYE CARE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.