Individual provider Active NPI

Ayelet Klahr

  • Optometrist
  • New York, NY
National Provider Identifier
1114800075
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011316 Issued in NY
Practice address
455 Malcolm X Blvd
New York, NY 10037-0982
Phone
(212) 368-2020
NPI assigned
Jul 29, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 011316 NY Primary

Addresses

Primary practice location

455 Malcolm X Blvd
New York, NY 10037-0982

Mailing address

190 Harborview S
Lawrence, NY 11559-1910

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
I20251224001760 NY Practitioner - Optometry 9830684091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

190 Harborview S
Lawrence, NY 11559-1910

2922 Ave L
Brooklyn, NY 11210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Vision Group Inc. Optometrist CurrentSince Nov 1, 2025 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, 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": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1114800075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HARBORVIEW S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100370982",
            "telephone_number": "212-368-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAHR",
        "first_name": "AYELET",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.