Individual provider Active NPI

Jacob Nachum, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1124107685
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004314-01 Issued in NY
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

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100428000328 NY Practitioner - Optometry 2466587472 Reassigns benefits to 4 organizations
I20230214001460 CT Practitioner - Optometry 2466587472 Reassigns benefits to 4 organizations
I20240115001461 MA Practitioner - Optometry 2466587472 Reassigns benefits to 2 organizations

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
Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

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

LicenseStateTypeSpecialty
004314NYMDMental Health Counselor
2012CTMDBehavioral Analyst
OPT3130MAMDOptometrist
27OA00452600NJMDOptometrist
TUV004314-01NYMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Medical PLLC CurrentSince Jan 1, 2026 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Jan 3, 2024 Accepting new patients
Raffaele Inc CurrentSince Apr 24, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Feb 9, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 3, 2024 Accepting new patients
Jacob Nachum, OD, PC Current Accepting new patients
Foley Vision Center LLC Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Mar 28, 2025 Accepting new patients
Waterford Optometric PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Jacob Nachum OD PC CurrentSince Oct 1, 2009 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 3, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Feb 9, 2023 Accepting new patients
Apex Optometric Care PC Optometrist CurrentSince Feb 3, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Mar 28, 2025 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

  • FHIR API: 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.

View all 17

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

Verify at the official NPI Registry.