Optical Shop of Deer Park Inc
NPI 1386101632 · Eyewear Supplier · Deer Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optical Shop of Deer Park Inc is a Eyewear Supplier organization in Deer Park, NY (NPI 1386101632).
Provider details
- NPI number
- 1386101632
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Leonid Gladstein, Owner(917) 887-8872
Specialties & taxonomies
Suppliers
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2019-07-02
Frequently asked questions
- What is Optical Shop of Deer Park Inc's NPI number?
- Optical Shop of Deer Park Inc's National Provider Identifier (NPI) is 1386101632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optical Shop of Deer Park Inc?
- Optical Shop of Deer Park Inc is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Optical Shop of Deer Park Inc located?
- Optical Shop of Deer Park Inc's practice location on file with NPPES is 415 Commack Rd Ste 2b, Deer Park, NY 11729-4508.
- What is Optical Shop of Deer Park Inc's phone number?
- The practice phone number listed in the NPPES registry for Optical Shop of Deer Park Inc is (631) 392-0711.
- Does Optical Shop of Deer Park Inc accept Medicare?
- Optical Shop of Deer Park Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optical Shop of Deer Park Inc?
- The authorized official listed on Optical Shop of Deer Park Inc's NPPES record is Leonid Gladstein, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optical Shop of Deer Park Inc's NPI active?
- Yes — Optical Shop of Deer Park Inc's NPI (1386101632) is active in the NPPES registry as of the last update on 2019-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.