Alysha Jacobs

Primary specialty

OptometristTaxonomy code 152W00000X

License

005955 Issued in NY

Practice address

171 W 73Rd St Apt 4
New York, NY 10023-2947

Phone

(917) 445-9566

Fax

(646) 304-0305

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

Yes

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 NY2 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 2

Specialty

Optometry

Education

New England College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seeing a Bright Future

  • Optometrist
  • New York, NY
  • NPI 1215359864
  NPD (past) Authorized official
• Beth Abraham Health Services

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1710910369
  NPD (past)
• Service Program for Older People, Inc

  • Geriatric Psychiatry Physician
  • New York, NY
  • NPI 1740211143
  NPD (past)
• Py Medical Services of Ny PLLC

  • Internal Medicine Physician
  • Fowler, OH
  • NPI 1760199988
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1225000581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W 73RD ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232947",
            "telephone_number": "917-445-9566",
            "fax_number": "646-304-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W 73RD ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232947",
            "telephone_number": "917-445-9566",
            "fax_number": "646-304-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ALYSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleen T. Jacobs-McFarlane, NP
• Claire Jacobs-Sims, FNP
• Adam Jacobs, M.D.
• Akiva Jacobs
• Alan Roy Jacobs, M.D.
• Anke Vera Jacobs, M.D.
• Arielle Chassen Jacobs, DMD
• Benjamin Harrison Jacobs, DMD
• Carl Jacobs, LP D.SC.
• Christina Jacobs, PMHNP

• Optometrist in New York, NY
• Providers in New York, 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 8, 2025; 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.