Nicholas Protopapas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NYT006601 Issued in NY

Practice address

4017 Main St
Flushing, NY 11354-5518

Phone

(718) 539-4313

NPI assigned

Jul 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 and National Provider Directory roles.

• G N P Inc.

  • Optometrist
  • Forest Hills, NY
  • NPI 1467642033
  Medicare reassignment NPD Authorized official
• A.M.P. Optical, Inc.

  • Optometrist
  • Flushing, NY
  • NPI 1821211194
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1235339946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545518",
            "telephone_number": "718-539-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545518",
            "telephone_number": "718-539-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTOPAPAS",
        "first_name": "NICHOLAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NYT006601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Medical Services PC
• Mitchell Gary Proffman, D.C.
• Progressive Behavior Interventions Licensed Behavior Analyst P C
• Promedex. Inc
• Protechmed, Inc.
• John A Prudenti, DO
• Beverly O Pryor, LMSW
• PSCH. Inc
• PSCH. Inc
• Makaria Psiliteli, LCAT, MA, MT-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.