Provider Demographics
NPI:1336355643
Name:RONALD J LOPINTO MD PC
Entity Type:Organization
Organization Name:RONALD J LOPINTO MD PC
Other - Org Name:LOPINTO EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOPINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-822-3911
Mailing Address - Street 1:732 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4929
Mailing Address - Country:US
Mailing Address - Phone:516-822-3911
Mailing Address - Fax:516-822-3983
Practice Address - Street 1:732 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4929
Practice Address - Country:US
Practice Address - Phone:516-822-3911
Practice Address - Fax:516-822-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150617207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00930612Medicaid
NY00930612Medicaid
NY=========Medicare ID - Type UnspecifiedPROVIDER NPI