PREMIUM LASER OPHTHALMOLOGY LLC
NPI 1407995863
Ophthalmology in New York, NY

Q: What is Premium Laser Ophthalmology LLC's NPI number?

The NPI number for Premium Laser Ophthalmology LLC is 1407995863. It was assigned to this organization in the NPPES registry on February 5, 2007.

Q: What is Premium Laser Ophthalmology LLC's specialty?

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

Active since February 05, 2007CLIA 33D2217744 · Waiver

125 W 79TH ST, FIRST FLOOR, NEW YORK, NY 10024(212) 580-8881 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Premium Laser Ophthalmology Llc NPPES

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

PREMIUM LASER OPHTHALMOLOGY LLC (NPI 1407995863) is a healthcare organization registered as an ophthalmology in New York, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Mark L Hornfeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1407995863

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePREMIUM LASER OPHTHALMOLOGY LLC

Location Address125 W 79TH ST, FIRST FLOORNew York, NY 10024-6454

Mailing Address125 West 79th Street, First FloorNew York, NY 10024 · (212) 580-8881

Phone(212) 580-8881

Organization SubpartNo

Authorized OfficialMark L HornfeldOwner · (212) 590-8881

Enumeration DateFebruary 5, 2007

Last NPPES UpdateFebruary 17, 2020

✔ NPI 1407995863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 179425

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.

125 W 79TH ST, New York, NY 10024

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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)

Premium Laser Ophthalmology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20041129000383Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premium Laser Ophthalmology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Raphael Castillo, MD

Ophthalmology

NPI 1770664294

125 W 79TH ST
New York, NY 10024

(212) 785-1059

✔ PECOS✔ Accepts MedicareSame address

Mark Hornfeld, DO

Ophthalmology

NPI 1467428573

125 W 79TH STREET
New York, NY 10024

(212) 580-8881

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2217744

Premium Laser Ophthalmology · Brooklyn, NY

Active · expires Mar 22, 2027

CLIA Number33D2217744

Laboratory TypePhysician Office

Certificate Effective DateMarch 23, 2025

Certificate Expiration DateMarch 22, 2027

Laboratory DirectorDr. Mark Hornfeld

Laboratory Phone(212) 580-8881

Laboratory LocationPremium Laser Ophthalmology231 South 3rd Street 3rd Floor, Brooklyn, NY 11211

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Premium Laser Ophthalmology LLC's NPI number?

The NPI number for Premium Laser Ophthalmology LLC is 1407995863. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Premium Laser Ophthalmology LLC located?

Premium Laser Ophthalmology LLC is located at 125 W 79th St First Floor, New York, NY 10024. The listed phone number is (212) 580-8881.

What is Premium Laser Ophthalmology LLC's specialty?

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

Is Premium Laser Ophthalmology LLC enrolled in Medicare?

Yes. Premium Laser Ophthalmology LLC is registered in the Medicare PECOS enrollment system.

When is Premium Laser Ophthalmology 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 February 28, 2027. 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 Premium Laser Ophthalmology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Premium Laser Ophthalmology 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premium Laser Ophthalmology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2217744) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premium Laser Ophthalmology LLC was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.