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PARK AVE EYELAND EAST, LLC
NPI 1174811202
Optometrist in Long Beach, NY

Active since July 11, 2011
651 E PARK AVE, LONG BEACH, NY 11561(561) 670-0700(516) 442-3669 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Ave Eyeland East, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK AVE EYELAND EAST, LLC (NPI 1174811202) is a healthcare organization registered as an optometrist in Long Beach, New York and active in the NPI registry since July 2011. The organization lists Leland Barry, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1174811202
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePARK AVE EYELAND EAST, LLC
Location Address651 E PARK AVELong Beach, NY 11561-2512
Mailing Address651 E Park AveLong Beach, NY 11561-2512 · (561) 670-0700 · Fax (516) 442-3669
Phone(561) 670-0700
Fax(516) 442-3669
Organization SubpartNo
Authorized OfficialLeland BarryOwner/president · (516) 670-0600
Enumeration DateJuly 11, 2011
Last NPPES UpdateMarch 17, 2017
✔ NPI 1174811202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV004095-1
Definition
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.
651 E PARK AVE, Long Beach, NY 11561
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Other Identifiers 1

Medicare PINA100052268NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Ave Eyeland East, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110726000036Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Ave Eyeland East, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leland Barry, OD
Optometry
NPI 1386812295
651 E PARK AVE
Long Beach, NY 11561
(516) 670-0600
✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Ave Eyeland East, LLC's NPI number?

The NPI number for Park Ave Eyeland East, LLC is 1174811202. It was assigned to this organization in the NPPES registry on July 11, 2011.

Where is Park Ave Eyeland East, LLC located?

Park Ave Eyeland East, LLC is located at 651 E Park Ave, Long Beach, NY 11561. The listed phone number is (561) 670-0700.

What is Park Ave Eyeland East, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Park Ave Eyeland East, LLC enrolled in Medicare?

Yes. Park Ave Eyeland East, LLC is registered in the Medicare PECOS enrollment system.

When is Park Ave Eyeland East, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Park Ave Eyeland East, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Park Ave Eyeland East, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Park Ave Eyeland East, LLC was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.