Individual provider Active NPI

Kimberly Ferraro, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1235511783
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008287-1 Issued in NY
Practice address
1312 38TH St
Brooklyn, NY 11218-3612
Phone
(718) 686-2051
NPI assigned
Jun 22, 2015
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008287-1 NY Primary
Pediatric Optometrist 152WP0200X TUV008287-1 NY
Vision Therapy Optometrist 152WV0400X TUV008287-1 NY

Addresses

Primary practice location

1312 38TH St
Brooklyn, NY 11218-3612

Mailing address

17 Pebble PL
Commack, NY 11725-1513
Phone (631) 219-9792

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
I20151013000011 NY Practitioner - Optometry 6901115054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Optometry Vision Care PLLCGroup PAC ID 3678980620, 4 clinicians

Practice addresses (Care Compare)

77 Veterans Hwy
Suite 6
Commack, NY 11725-3410
Phone (631) 499-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008287-1NYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Optometry Vision Care PLLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jun 11, 2015 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 11, 2015 Accepting new patients
Eye Care Medical PC PastSince Jan 11, 2017 Accepting new patients

Locations

77 Veterans Memorial Hwy
Ste 6
Commack, NY 11725
Phone (631) 499-8811

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

Interoperability endpoints

  • Direct secure messaging: kimberly.hamian.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1235511783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PEBBLE PL",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251513",
            "telephone_number": "631-219-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183612",
            "telephone_number": "718-686-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "KIMBERLY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008287-1",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV008287-1",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV008287-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.