Individual provider Active NPI

Panagiotis Panos Karageorgiou, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1114239654
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56007599 Issued in NY
Practice address
123A 7TH Ave
New York, NY 10011-1802
Phone
(212) 627-4488
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56007599 NY Primary

Addresses

Primary practice location

123A 7TH Ave
New York, NY 10011-1802

Mailing address

50 Henry St
3B
New York, NY 10002-6959
Phone (646) 884-0049

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
I20110415000534 NY Practitioner - Optometry 6608050679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Optometry 121 PCGroup PAC ID 8729224688, 2 clinicians

Practice addresses (Care Compare)

203 E 121St St
New York, NY 10035-3047
Phone (212) 876-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56007599NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometry 121 PC Optometrist CurrentSince Jan 1, 2016 Accepting new patients
LMJ Vision, Inc. Optometrist Past Accepting new patients

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1114239654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HENRY ST",
            "address_2": "3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026959",
            "telephone_number": "646-884-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123A 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111802",
            "telephone_number": "212-627-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAGEORGIOU",
        "first_name": "PANAGIOTIS",
        "middle_name": "PANOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56007599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.