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LONG ISLAND VITREO RETINAL CONSULTANTS
NPI 1740474402
Ophthalmology - Retina Specialist in Great Neck, NY

Active since September 05, 2007
600 NORTHERN BLVD STE 216, GREAT NECK, NY 11021(516) 466-0390(516) 466-4956 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2019, Mar 17, 2018, Dec 5, 2017 and 1 more (4 updates tracked since 2017).

About Long Island Vitreo Retinal Consultants NPPES

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

LONG ISLAND VITREO RETINAL CONSULTANTS (NPI 1740474402) is a healthcare organization registered as a retina specialist in Great Neck, New York and active in the NPI registry since September 2007. The organization maintains 5 additional practice locations and lists Kim Maccarone, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1740474402
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameLONG ISLAND VITREO RETINAL CONSULTANTS
Location Address600 NORTHERN BLVD STE 216Great Neck, NY 11021-5200
Mailing Address600 Northern Blvd Ste 216Great Neck, NY 11021-5200 · (516) 466-0390 · Fax (516) 466-4956
Phone(516) 466-0390
Fax(516) 466-4956
Organization SubpartNo
Authorized OfficialKim MaccaroneCredentialing Manager · (516) 466-0390
Enumeration DateSeptember 5, 2007
Last NPPES UpdateJanuary 15, 20194 updates tracked since enumeration
✔ NPI 1740474402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
600 NORTHERN BLVD STE 216, Great Neck, NY 11021
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Secondary Practice Locations 5

Location 147 Commerce Ave Ste 2Riverhead, NY 11901-3106 · Phone (631) 905-0666
Location 2200 Motor Pkwy Ste A2Hauppauge, NY 11788-5112 · Phone (631) 234-5666
Location 364 N Long Beach RdRockville Centre, NY 11570-5030 · Phone (516) 594-1010
Location 49131 Queens Blvd Ste 209Elmhurst, NY 11373-5511 · Phone (718) 793-6430 · Fax (718) 793-6321
Location 513625 Maple Ave Ste 202Flushing, NY 11355-3891 · Phone (516) 466-0390 · Fax (516) 829-0520

Other Identifiers 7

Other45A371NY · Dr J Shakin
Other467A61NY · Dr B Rosenblatt
Other423B91NY · Dr K Graham
Other71A461NY · Dr D Fastenberg
Other44I491NY · Dr E Shakin
Other316B51NY · Dr V Deramo
Other5T9101NY · Dr P Ferrone

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID YAO FEI POON M.D.
Ophthalmology
600 NORTHERN BLVD STE 216
GREAT NECK, NY 11021
Nassau County (516) 466-0390

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 Long Island Vitreo Retinal Consultants's NPI number?

The NPI number for Long Island Vitreo Retinal Consultants is 1740474402. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Long Island Vitreo Retinal Consultants located?

Long Island Vitreo Retinal Consultants is located at 600 Northern Blvd Ste 216, Great Neck, NY 11021. The listed phone number is (516) 466-0390.

What is Long Island Vitreo Retinal Consultants's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Long Island Vitreo Retinal Consultants was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.