Individual provider Active NPI

Andrea Jill Kropf, OD

  • Optometrist
  • Somers, NY
National Provider Identifier
1104804806
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006519-1 Issued in NY
Practice address
293 Route 100
Suite 208
Somers, NY 10589-3213
Phone
(914) 302-6877
Fax
(914) 302-6876
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006519-1 NY Primary

Addresses

Primary practice location

293 Route 100
Suite 208
Somers, NY 10589-3213

Mailing address

293 Route 100
Suite 208
Somers, NY 10589-3213
Phone (914) 302-6877

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
I20120222000788 NY Practitioner - Optometry 0244498277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

325 Route 100
Somers, NY 10589-3227
Phone (914) 302-6877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T006519-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rayoptajk Inc Optometrist CurrentSince Apr 15, 2020 Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

325 Route 100
Somers, NY 10589
Phone (914) 597-2890

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1104804806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 ROUTE 100",
            "address_2": "SUITE 208",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893213",
            "telephone_number": "914-302-6877",
            "fax_number": "914-302-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 ROUTE 100",
            "address_2": "SUITE 208",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893213",
            "telephone_number": "914-302-6877",
            "fax_number": "914-302-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROPF",
        "first_name": "ANDREA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006519-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

Verify at the official NPI Registry.