Konstantinos Booras, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006759 Issued in NY

Practice address

505 Northern Blvd
Suite 313
Great Neck, NY 11021-5115

Phone

(516) 472-7310

Fax

(516) 368-3862

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hellenic Eye Care Optometry Consulting PLLC

  • Optometrist
  • Bayside, NY
  • NPI 1568627230
  Medicare reassignment NPD Authorized official
• Yorkville Hearing

  • Audiologist-Hearing Aid Fitter
  • Little Neck, NY
  • NPI 1407096019
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1093777377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "address_2": "STE 313",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215101",
            "telephone_number": "516-472-7310",
            "fax_number": "516-368-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD",
            "address_2": "SUITE 313",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215115",
            "telephone_number": "516-472-7310",
            "fax_number": "516-368-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORAS",
        "first_name": "KONSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006759",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV006759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Boms, AUD
• Vincent R Bonagura, MD
• Michael Bonanni, DPT
• Bond Orthodontics & Dental Care PLLC
• Michelle E. Boone
• Eileen Booth, MS, OTR/L, HPCS
• Michael J Bordoy, OTR/L
• Elizabeth Boris, MA LCSW CASAC
• Allan Jerome Masiddo Borleo, P.T.
• Shelby Bossie

• Optometrist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.