DR. MARK ALAN HERTZBERG (NPI# 1114134962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114134962 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN HERTZBERG |
| Credential | O.D. |
| Practice Address |
25301 Rockaway Blvd Rosedale NY 11422-3113 |
| Mailing Address |
Po Box 461 Lawrence NY 11559-0461 |
| Practice Telephone | 5162952135 |
| Practice Fax Number | 5162954561 |
| Mailing Telephone | 7183271536 |
| Mailing Fax Number | 7183271536 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 004131 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739080 | Mark G Hertzberg | Internal Medicine | 44150 12 Mile Road, Suite 100, Novi, MI 48377 | 2005-12-06 |
| Street Address |
25301 ROCKAWAY BLVD |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003967241 | Dac Vision Services Inc | Technician/Technologist | 25301 Rockaway Blvd, Rosedale, NY 11422-3113 | 2007-01-15 |
| 1588101836 | B & E Eyewear Inc | Technician/Technologist | 25301 Rockaway Blvd, Inside Nwl, Rosedale, NY 11422-3135 | 2017-01-25 |
| 1952773798 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 25301 Rockaway Blvd, Rosedale, NY 11422-3135 | 2015-10-20 |
| 1043494123 | Andrew M Cullen | Technician/Technologist | 25301 Rockaway Blvd, Rosedale, NY 11422-3113 | 2007-12-25 |
| 1114142858 | Paul J Getreu | Dentist | 25301 Rockaway Blvd, Five Towns Plaza, Rosedale, NY 11422-3113 | 2007-04-16 |
| 1255362398 | K Mart Corp | Pharmacy | 25301 Rockaway Blvd, Rosedale, NY 11422-3135 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568978864 | Katzen Medical Associates, PC | Optometrist | 7106 Ridge Rd, Rosedale, MD 21237-3875 | 2017-12-21 |
| 1417035981 | Lori Ann Sportelli | Optometrist | 8201 Philadelphia Rd, Rosedale, MD 21237-2832 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1134727860 | Paras Patel | Optometrist | 891 Route 9 Ste 700, Queensbury, NY 12804-1796 | 2020-10-14 |
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1538772157 | Wilzen Anne Lingad O.d., Pllc | Optometrist | 4117 Crescent St, Long Island City, NY 11101-3861 | 2020-08-24 |
| 1760095384 | Mk Vision Center I, Inc | Optometrist | 7010 Austin St Ste 2, Forest Hills, NY 11375-4763 | 2020-08-24 |
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1154930881 | Safeera Zafar Bhutta | Optometrist | 36 Lexington Ave, Malverne, NY 11565-2316 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.