THE OPTICAL SOURCE (NPI# 1174731129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174731129 |
| Entity Type | Organization |
| Organization Name | THE OPTICAL SOURCE |
| Other Organization Name | STERLING OPTICAL # 318 |
| Practice Address |
1744 Veterans Memorial Highway Islandia NY 11749 |
| Practice Telephone | 6313484545 |
| Practice Fax Number | 6313487299 |
| Mailing Telephone | 6313484545 |
| Mailing Fax Number | 6313487299 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ERNIE ALAN ROSEN (VICE PRESIDENT) |
| Authorized Official Telephone | 6313484545 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0004616 | NY | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sterling Optical # 318 | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE OPTICAL SOURCE, INC. | 62 White Street, New York, Ny 10013 |
| Street Address |
1744 VETERANS MEMORIAL HIGHWAY |
| City | ISLANDIA |
| State | NY |
| Zip Code | 11749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| Find all providers in zip 11749 | ||||
| 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 |
|---|---|---|---|---|
| 1386762540 | Gutkovich Enterprises, Inc | Optometrist | 1850 Veterans Memorial Highway, Islandia, NY 11749 | 2007-03-27 |
| 1962405258 | Dmitry Gutkovich | Optometrist | 1850 Veterans Memorial Hwy, Islandia, NY 11362 | 2005-05-31 |
| 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.