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SOUTH SHORE OPHTHALMOLOGY,P.C.
NPI 1225164072
Ophthalmology in Hewlett, NY

Active since February 26, 2007
1175 W BROADWAY, SUITE 25, HEWLETT, NY 11557(516) 374-1122(516) 374-1025 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Shore Ophthalmology,p.c. NPPES

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

SOUTH SHORE OPHTHALMOLOGY,P.C. (NPI 1225164072) is a healthcare organization registered as an ophthalmology in Hewlett, New York and active in the NPI registry since February 2007. The organization lists William Harry Boockvar, President, as its authorized official.

NPPES Registry Identity

NPI1225164072
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTH SHORE OPHTHALMOLOGY,P.C.
Location Address1175 W BROADWAY, SUITE 25Hewlett, NY 11557-1922
Mailing Address1175 W Broadway, Suite 25Hewlett, NY 11557-1922 · (516) 374-1122 · Fax (516) 374-1025
Phone(516) 374-1122
Fax(516) 374-1025
Organization SubpartNo
Authorized OfficialWilliam Harry BoockvarPresident · (516) 374-1122
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 17, 2008
✔ NPI 1225164072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
1175 W BROADWAY, Hewlett, NY 11557
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Other Identifiers 3

Medicare PINWWQ601NY
Medicare PIN57266WQ601NY
Medicare PIN34303WQ601NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Ophthalmology,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Shore Ophthalmology,p.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Melamed, MD
Ophthalmology
NPI 1952362261
1175 WEST BROADWAY SUITE# 25
Hewlett, NY 11557
(516) 374-1122
✔ PECOS✔ Accepts Medicare0.2 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 South Shore Ophthalmology,p.C.'s NPI number?

The NPI number for South Shore Ophthalmology,p.C. is 1225164072. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is South Shore Ophthalmology,p.C. located?

South Shore Ophthalmology,p.C. is located at 1175 W Broadway Suite 25, Hewlett, NY 11557. The listed phone number is (516) 374-1122.

What is South Shore Ophthalmology,p.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is South Shore Ophthalmology,p.C. enrolled in Medicare?

Yes. South Shore Ophthalmology,p.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Shore Ophthalmology,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to South Shore Ophthalmology,p.C.. 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 South Shore Ophthalmology,p.C. was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.