Lake Success Ophthalmic Associates PC
Ophthalmology in New Hyde Park, NY. Organization (NPI-2).
Details
- NPI
- 1477546307
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Success Ophthalmic Associates PC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2005
- Last updated
- Mar 4, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
410 Lakeville RdSuite 300
New Hyde Park, NY 11042-1101
Phone 516-488-2750 · Fax 516-488-7407
Mailing address
410 Lakeville RdSuite 300
New Hyde Park, NY 11042-1101
Phone 516-488-2750 · Fax 516-488-7407
Authorized official
Robin Malkin
Office Manager
5164882750
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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