Active NPI
Jacob Nachum, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004314-01
- Practice address
- 26 Broadway
Suite 908
New York, NY 10004-1703 - Phone
- (212) 425-2115
- Fax
- (212) 425-2636
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00452600 | NJ | |
| Optometrist | 152W00000X | OPT3130 | MA | |
| Optometrist | 152W00000X | 2012 | CT | |
| Corneal and Contact Management Optometrist | 152WC0802X | TUV004314-01 | NY | |
| Occupational Vision Optometrist | 152WX0102X | TUV004314-01 | NY | |
| Optometrist | 152W00000X | TUV004314-01 | NY | Primary |
Addresses
Primary practice location
26 Broadway
Suite 908
New York, NY 10004-1703
Mailing address
26 Broadway
Suite 908
New York, NY 10004-1703
Phone (212) 425-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Wakelee Ave
Ansonia, CT 06401-1176
Phone (203) 734-1686
174 Danbury Rd
New Milford, CT 06776-4328
Phone (860) 354-5537
26 Broadway
Suite 908
New York, NY 10004-1837
Phone (212) 425-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004314 | NY | MD | Mental Health Counselor |
| 2012 | CT | MD | Behavioral Analyst |
| OPT3130 | MA | MD | Optometrist |
| 27OA00452600 | NJ | MD | Optometrist |
| TUV004314-01 | NY | MD | Occupational Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Eye Medical PLLC | Current | Accepting new patients | |
| New York Optometry Professional PLLC | Optometrist | Current | Accepting new patients |
| Raffaele Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Jacob Nachum, OD, PC | Current | Accepting new patients | |
| Foley Vision Center LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Waterford Optometric PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Jacob Nachum OD PC | Current | Accepting new patients | |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Apex Optometric Care PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
Locations
145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686
65 North St
Danbury, CT 06810
Phone (203) 790-9030
325 Burnham St
East Hartford, CT 06108
14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766
2165 Dixwell Ave
Hamden, CT 06514
Phone (203) 248-2727
2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019
85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029
747 Boston Post Rd
Madison, CT 06443
Phone (203) 245-1492
54 Park Lane Rd
New Milford, CT 06776
Phone (860) 354-0130
185 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-5000
2162 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 513-1431
903 Hartford Tpke
Unit 29
Waterford, CT 06385
Phone (860) 444-7360
100 Macy St
Ste K
Amesbury, MA 01913
Phone (978) 792-4400
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010
489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
26 Broadway
Ste 908
New York, NY 10004
Phone (212) 425-2115
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 17
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.
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1558549311
-
- Optometrist
- Ansonia, CT
- NPI 1396119194
-
- Ophthalmology Physician
- New York, NY
- NPI 1366738080
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Optometrist
- Sidney, NY
- NPI 1598470544
-
- Optometrist
- Hartford, CT
- NPI 1346705027
-
- Optometrist
- Amesbury, MA
- NPI 1063908960
-
- Optometrist
- Amherst, MA
- NPI 1124534946
-
- Eyewear Supplier
- Hamden, CT
- NPI 1346365145
-
- Optometrist
- Waterford, CT
- NPI 1154174589
-
- Clinic/Center
- New York, NY
- NPI 1356119747
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1124107685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BROADWAY",
"address_2": "SUITE 908",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041703",
"telephone_number": "212-425-2115",
"fax_number": "212-425-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BROADWAY",
"address_2": "SUITE 908",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041703",
"telephone_number": "212-425-2115",
"fax_number": "212-425-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACHUM",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00452600",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OPT3130",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2012",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV004314-01",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NY",
"license": "TUV004314-01",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004314-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.