Individual provider Active NPI

Allen Ira Kaplan, OD

  • Optometrist
  • Catskill, NY
National Provider Identifier
1235110867
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT2785 Issued in NY
Practice address
12 Central Ave
Catskill, NY 12414-0547
Phone
(518) 943-3840
Fax
(518) 943-0801
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT2785 NY Primary

Addresses

Primary practice location

12 Central Ave
Catskill, NY 12414-0547

Mailing address

12 Central Ave
Catskill, NY 12414-0547
Phone (518) 943-3840

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081205000177 NY Practitioner - Optometry 3971664210 Practice locations: Catskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Central Ave
Catskill, NY 12414-0547

12 Central Ave
Catskill, NY 12414-1745
Phone (518) 943-3840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UT2785NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1235110867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTRAL AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124140547",
            "telephone_number": "518-943-3840",
            "fax_number": "518-943-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTRAL AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124140547",
            "telephone_number": "518-943-3840",
            "fax_number": "518-943-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "ALLEN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.