TWIN FORKS OPTOMETRY, PLLC (NPI# 1699155549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699155549 |
| Entity Type | Organization |
| Organization Name | TWIN FORKS OPTOMETRY, PLLC |
| Practice Address |
25 Cranberry Street Riverhead NY 11901 |
| Mailing Address |
25 Cranberry Street Riverhead NY 11901-5611 |
| Practice Telephone | 6317409384 |
| Practice Fax Number | 6317409385 |
| Mailing Telephone | 6317409384 |
| Mailing Fax Number | 6317409385 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | DR. JESSICA FULMER (OWNER) |
| Authorized Official Telephone | 3154397518 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
007991 | NY | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
007991 | NY | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
007991 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 007991 | NY | Eye and Vision Services Providers |
| Street Address |
25 CRANBERRY STREET |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1194111708 | Tanzia Afrin Chowdhury | Family Medicine | 715 Roanoke Ave Ste 3, Riverhead, NY 11901 | 2015-04-09 |
| Find all providers in zip 11901 | ||||
| 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 |
|---|---|---|---|---|
| 1881221695 | Svc of Riverhead LLC | Optometrist | 887 Old Country Rd Ste Gkl, Riverhead, NY 11901-2115 | 2020-03-24 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1467948299 | Taylor Battaglia | Optometrist | 887 Old Country Rd Ste K-l, Riverhead, NY 11901-2115 | 2018-07-04 |
| 1063852986 | Miki Lyn Zilnicki | Optometrist | 25 Cranberry St, Suite A, Riverhead, NY 11901-2762 | 2013-06-25 |
| 1326326224 | Jessica Licausi | Optometrist | 25 Cranberry St Ste A, Riverhead, NY 11901-2762 | 2011-07-26 |
| 1770784423 | Michael Anthony Algieri | Optometrist | 1053 Old Country Rd, Pearle Vision Center, Riverhead, NY 11901-2019 | 2007-05-30 |
| 1659467587 | Jason Seligman | Optometrist | 765 Old Country Road, Riverhead, NY 11901 | 2006-10-05 |
| 1760463582 | Dean Michael Miller | Optometrist | 1053 Route 58, Riverhead, NY 11901-2019 | 2005-11-09 |
| 1225024490 | Jeffrey Slaney Williams Sr. | Optometrist | 887 Old Country Rd, Suite K-l, Riverhead, NY 11901-2115 | 2005-09-23 |
| 1275143075 | Ava Louise Koch | Optometrist | 887 Old Country Rd Ste G-kl, Riverhead, NY 11901-2115 | 2020-08-06 |
| Find all providers in RIVERHEAD | ||||
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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.