SOUTH SHORE OPTICIANS INC (NPI# 1023041589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023041589 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE OPTICIANS INC |
| Practice Address |
1033 Green Acres Mall Valley Stream NY 11581 |
| Practice Telephone | 5168258990 |
| Practice Fax Number | 5168722702 |
| Mailing Telephone | 5168258990 |
| Mailing Fax Number | 5168722702 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | MS. MARVEA THOMPSON (OWNER OPTICIAN) |
| Authorized Official Telephone | 5168258990 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | T024291 | NY | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
0043021 | NY | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
0037511 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | TUV005493 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01016646 | 05 |
| Street Address |
1033 GREEN ACRES MALL |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093938086 | Marvea V Thompson | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2007-04-10 |
| 1669542767 | Jeffrey Ward Goldberg | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2006-11-08 |
| 1992881486 | Ira E Marder | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| 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 |
|---|---|---|---|---|
| 1083065692 | Brenda Liang | Optometrist | 10 E Merrick Rd Ste 201, Valley Stream, NY 11580 | 2016-06-24 |
| 1841631009 | Yuliya Bababekova | Optometrist | 1088 Green Acres Mall Ste 118, Valley Stream, NY 11581-1535 | 2013-07-16 |
| 1831442995 | Green Acres Vistasite Inc | Optometrist | 1088 Green Acres Mall # 118, Valley Stream, NY 11581-1535 | 2012-10-25 |
| 1164703054 | Valley Stream Optomerty & Optician Pllc | Optometrist | 129 Rockaway Ave, Valley Stream, NY 11580-5812 | 2011-09-06 |
| 1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
| 1184754624 | Iar Royal Optical, Inc. | Optometrist | 1112 Green Acres Mall, Valley Stream, NY 11581-1536 | 2007-03-06 |
| 1093878670 | Mark Joel Bashover | Optometrist | 845 Newburg Ave, Valley Stream, NY 11581-3107 | 2006-12-18 |
| 1326132549 | Alison L Risko | Optometrist | 475 W Merrick Rd, Valley Stream, NY 11580 | 2006-10-03 |
| 1255430955 | Sherman Lee | Optometrist | 1041 Green Acres Mall, Valley Stream, NY 11581-4511 | 2006-09-21 |
| 1801865852 | Yuliya Angelova | Optometrist | 10 E Merrick Rd, Suite 201, Valley Stream, NY 11580-6105 | 2006-03-14 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
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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.