Individual provider Active NPI

Bradley W. Kaplan, OD

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1023221629
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003824 Issued in NY
Practice address
6939 Austin St
Forest Hills, NY 11375-4243
Phone
(718) 261-6000
NPI assigned
May 8, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003824 NY Primary

Addresses

Primary practice location

6939 Austin St
Forest Hills, NY 11375-4243

Mailing address

6939 Austin St
Forest Hills, NY 11375-4243
Phone (718) 261-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000856 NY Practitioner - Optometry 7618141813 Reassigns benefits to 1 organization
Practice locations: Corona, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corona Optometry PCGroup PAC ID 9335224054, 4 clinicians

Practice addresses (Care Compare)

6939 Austin St
Forest Hills, NY 11375-4243
Phone (718) 261-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003824NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Optometry, PC Optometrist CurrentSince Jun 1, 2016 Accepting new patients
Corona Optometry PC Optometrist Past Accepting new patients

Locations

10306 Roosevelt Ave
Corona, NY 11368
Phone (718) 424-1333

6939 Austin St
Forest Hills, NY 11375
Phone (718) 261-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1023221629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754243",
            "telephone_number": "718-261-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754243",
            "telephone_number": "718-261-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "BRADLEY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.