Alex Tschubarjan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4065 Issued in NY

Practice address

1 Jackson Ave South
Hampton Bays, NY 11946-2018

Phone

(631) 728-1525

Fax

(631) 728-1534

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• South Fork Optical Center, Inc.

  • Eyewear Supplier
  • Hampton Bays, NY
  • NPI 1891982476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1043351968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JACKSON AVE",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462018",
            "telephone_number": "631-728-1525",
            "fax_number": "631-728-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACKSON AVE SOUTH",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462018",
            "telephone_number": "631-728-1525",
            "fax_number": "631-728-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHUBARJAN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Stop & Shop Supermarket Company LLC
• Jeslin Thomas, D.M.D.
• Town of Southampton
• Donna M. Trees-Barker, ANP
• Kenneth Micheal Troeller, LMSW
• Shawn Tsekhan
• TST Therapeutic Services, LLC
• Katarzyna Tuminski
• Teresa Jordan Tuzil, LCSW
• Francis T. Twiggs, PH.D.

• Optometrist in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.