Organization Active NPI

S H Laufer of Port Chester Inc

  • Optometrist
  • Port Chester, NY
National Provider Identifier
1184685265
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003036 Issued in NY
Legal business name
S H LAUFER OF PORT CHESTER INC
Practice address
511 Boston Post Rd
Port Chester, NY 10573-4734
Phone
(914) 937-3955
Fax
(914) 937-0586
NPI assigned
Mar 29, 2006
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Ella Koyfman
Title
Owner
Phone
(914) 937-3955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 003036 NY Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

511 Boston Post Rd
Port Chester, NY 10573-4734

Mailing address

511 Boston Post Rd
Port Chester, NY 10573-4734
Phone (914) 937-3955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100702000217 NY Part B Supplier - Clinic/Group Practice 2163553348 Receives reassigned benefits from 1 practitioner
Practice locations: Port Chester, NY

National Provider Directory

National Provider Directory

Locations

511 Boston Post Rd
Port Chester, NY 10573
Phone (914) 937-3915

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1184685265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BOSTON POST RD",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734734",
            "telephone_number": "914-937-3955",
            "fax_number": "914-937-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BOSTON POST RD",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734734",
            "telephone_number": "914-937-3955",
            "fax_number": "914-937-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S H LAUFER OF PORT CHESTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "KOYFMAN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-937-3955"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003036",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.