South Shore Optometric Associates, PC
NPI 1710936059ActiveOrganization· Optometrist· Amityville, NY
Optometrist in Amityville, New York, registered in NPPES in May 2006. The authorized official on file is David Lane Leibstein, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710936059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | May 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TUV005756-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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