IndividualActive
Michael Tanenbaum, O.D.
NPI 1376510503 · Optometrist · Northport, NY
Michael Tanenbaum, O.D. is a Optometrist provider in Northport, NY (NPI 1376510503).
Provider details
- NPI number
- 1376510503
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- License
- TUV003407 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
834 Fort Salonga Rd
Northport, NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
Street-level locationGet directions
Mailing address
834 Fort Salonga Rd
Northport, NY 11768-3157
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Tanenbaum's NPI number?
- Michael Tanenbaum's National Provider Identifier (NPI) is 1376510503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Tanenbaum's specialty?
- Michael Tanenbaum is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Michael Tanenbaum located?
- Michael Tanenbaum's practice location on file with NPPES is 834 Fort Salonga Rd, Northport, NY 11768-3157.
- What is Michael Tanenbaum's phone number?
- The practice phone number listed in the NPPES registry for Michael Tanenbaum is (631) 757-4440.
- Is Michael Tanenbaum's NPI active?
- Yes — Michael Tanenbaum's NPI (1376510503) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.