Healthcare Provider Details

I. General information

NPI: 1891383592
Provider Name (Legal Business Name): HICKSVILLE OPTOMETRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 WALT WHITMAN RD
HUNTINGTON STATION NY
11746-4119
US

IV. Provider business mailing address

259 WALT WHITMAN RD
HUNTINGTON STATION NY
11746-4119
US

V. Phone/Fax

Practice location:
  • Phone: 631-688-2020
  • Fax: 631-427-0356
Mailing address:
  • Phone: 631-688-2020
  • Fax: 631-427-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELENA FELDMAN
Title or Position: OWNER
Credential: OD
Phone: 631-688-2020