Provider Type Icon

SOUTH OCEAN OPHTHALMOLOGY PC NPI 1972775583


NPI Information

NPI: 1972775583
Provider Name: SOUTH OCEAN OPHTHALMOLOGY PC

Former Legal Business Name: MELCHOR GARCIA JR MD PC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
260 PATCHOGUE YAPHANK RD
SUITE A
EAST PATCHOGUE, NY
ZIP 11772
Phone: (631) 289-0001
Get Directions

SOUTH OCEAN OPHTHALMOLOGY PC is an ophthalmology in East Patchogue, NY. The provider is 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. SOUTH OCEAN OPHTHALMOLOGY PC NPI is 1972775583. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Melchor Garcia Jr Md Pc.

The provider's business location address is:

260 PATCHOGUE YAPHANK RD
SUITE A
EAST PATCHOGUE, NY
ZIP 11772-886
Phone: (631) 289-0001
Fax: (631) 758-2958

The provider's authorized official is Grace Garcia Lessing .
The authorized official title is President and has the following contact phone number (631) 289-0001.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 11/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology114521NEW YORKNo
2207W00000XOphthalmology204125NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C12003MEDICARE UPIN
200430722MEDICAIDNEW YORK
302075203MEDICAIDNEW YORK
440Z23XWQV1MEDICARE PINNEW YORK
5G90619MEDICARE UPIN
6WXWQV1MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.