LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.
NPI 1467589861
Ophthalmology in Port Jefferson, NY

NPI Status: Active since February 27, 2007

Contact Information

60 N COUNTRY RD
301
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 474-4200
Fax: (631) 474-4202

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  • Organization
  • Ophthalmology
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 33D2124476
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-17-2027

About LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.

This page provides the complete NPI Profile along with additional information for Long Island Pediatric Ophthalmology & Strabismus, P.c., a provider established in Port Jefferson, New York operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1467589861 assigned on February 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Maury Alan Marmor M.d. (President)

NPI
1467589861
Provider Name
LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.
Entity Type
Organization
Location Address
60 N COUNTRY RD 301 PORT JEFFERSON, NY 11777
Location Phone
(631) 474-4200
Location Fax
(631) 474-4202
Mailing Address
60 N COUNTRY RD 301 PORT JEFFERSON, NY 11777
Mailing Phone
(631) 474-4200
Mailing Fax
(631) 474-4202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
08-22-2020
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Ophthalmologists like Long Island Pediatric Ophthalmology & Strabismus, P.c. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Long Island Pediatric Ophthalmology & Strabismus, P.c. is a medicare supplier with PTAN 20594711 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MAURY ALAN MARMOR M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 474-4200

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20594711
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel.
Provider Type List
PEDORTHIC PERSONNEL.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2124476
Facility Type
Physician Office
Certificate Effective Date
January 18, 2025
Certificate Expiration Date
January 17, 2027
Laboratory Director
DR. RICHARD E. KOTY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Long Island Pediatric Ophthalmology & Strabismus, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467589861
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412710818812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 8 + 1 + 8 + 8 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1467589861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518940279DR. KENNETH HARMON SORKIN O.D.
Individual
Optometrist (Pediatrics)60 N COUNTRY RD
PORT JEFFERSON, NY 11777
(631) 474-4200
1780650341DR. JOAN RUBINSTEIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)60 N COUNTRY RD SUITE 205
PORT JEFFERSON, NY 11777
(631) 331-0974
1265549265DR. ERIC L ROBERTS M.D.
Individual
Specialist60 N COUNTRY RD SUITE 301
PORT JEFFERSON, NY 11777
(631) 474-4200
1417064569DR. MAURY A MARMOR M.D.
Individual
Specialist60 N COUNTRY RD SUITE 301
PORT JEFFERSON, NY 11777
(631) 474-4200
1497812564DR. DENNIS ROY DUBEY PH.D.
Individual
Psychologist60 N COUNTRY RD SUITE 204
PORT JEFFERSON, NY 11777
(631) 928-5954
1154544567 SAMEH WAHBA M.D
Individual
Psychiatry & Neurology (Psychiatry)60 N COUNTRY RD
PORT JEFFERSON, NY 11777
(631) 476-0776
1265711071SUFFOLK CRITICAL CARE ASSOCIATES, LLP
Organization
Internal Medicine (Critical Care Medicine)60 N COUNTRY RD SUITE 203
PORT JEFFERSON, NY 11777
(631) 509-1888
1669795563SUFFOLK PULMONARY ASSOCIATES, LLP
Organization
Internal Medicine (Pulmonary Disease)60 N COUNTRY RD SUITE 203
PORT JEFFERSON, NY 11777
(631) 509-1888
1487657755DR. MORTON L GLASER MD
Individual
Specialist60 N COUNTRY RD STE 203
PORT JEFFERSON, NY 11777
(631) 509-1888
1518186089DR. MICHELLE LEVI M.D.
Individual
Ophthalmology60 N COUNTRY RD
PORT JEFFERSON, NY 11777
(631) 474-4200
1003923038DR. RICHARD E KOTY M.D.
Individual
Ophthalmology60 N COUNTRY RD SUITE 301
PORT JEFFERSON, NY 11777
(631) 474-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467589861, enumerated in the NPI registry as an "organization" on February 27, 2007

The provider is located at 60 N Country Rd 301 Port Jefferson, Ny 11777 and the phone number is (631) 474-4200

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider's CLIA number is 33D2124476 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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