Richard Bohn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002830-1 Issued in NY

Practice address

3450 Long Beach Rd
Oceanside, NY 11572-5440

Phone

(516) 678-1616

Fax

(516) 764-2711

NPI assigned

Feb 21, 2007

Last updated

May 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooke Plaza Optical, Inc.Group PAC ID 3274681523, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brooke Plaza Optical, Inc.

  dba Plaza Optical

  • Optometrist
  • Oceanside, NY
  • NPI 1467620708
  Medicare reassignment Care Compare group NPD Authorized official
• Everything Optical for Less, Inc.

  dba Access Optical

  • Optometrist
  • Merrick, NY
  • NPI 1063681955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1124163647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725440",
            "telephone_number": "516-678-1616",
            "fax_number": "516-764-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725440",
            "telephone_number": "516-678-1616",
            "fax_number": "516-764-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002830-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01164016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Meryl Blau, RPH
• Daniel Bleykhman, MD
• Ivy Bloom, MSED
• Jolene Slansky Boden, LCSW
• Glenn G Boettger, CRNA
• Michael Robert Bonasera Sr., DDS
• Avery Bonavita, AUD
• Gregory Stephen Bonistalli, AU.D.
• Meghan Bonomo
• Boomer Services Plus, Inc. (dba -Comfort Keepers)

• Optometrist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.

Verify at the official NPI Registry.