WOODSIDE OPTOMETRY PC
NPI 1356677876
Optometrist in Flushing, NY
- Organization
- Optometrist
- CLIA Number: 33D2004938
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2026
About WOODSIDE OPTOMETRY PC
This page provides the complete NPI Profile along with additional information for Woodside Optometry Pc, a provider established in Flushing, New York operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1356677876 assigned on October 2009. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Puneet Rastogi Od (Owner)
- NPI
- 1356677876 Verify this NPI
- Provider Name
- WOODSIDE OPTOMETRY PC
- Entity Type
- Organization
- Location Address
- 4811 QUEENS BLVD FLUSHING, NY 11377
- Location Phone
- (718) 205-9760
- Mailing Address
- 4811 QUEENS BLVD FLUSHING, NY 11377
- Mailing Phone
- (718) 205-9760
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2009
- Last Update Date
- 10-19-2009
- Code Navigator
Location Map
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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License State
- NY
- Taxonomy Description
- 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.
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.
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
- 33D2004938
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2024
- Certificate Expiration Date
- March 15, 2026
- Laboratory Director
- DR. RAFAEL RODRIGUEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Woodside Optometry Pc 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356677876, enumerated as an "organization" on October 19, 2009.
The provider is located at 4811 QUEENS BLVD FLUSHING, NY 11377 and the phone number is (718) 205-9760.
Optometrist with taxonomy code 152W00000X.
