Bryan S Prouse, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV7547-1 Issued in NY

Practice address

257 Beach 20TH St
Far Rockaway, NY 11691-3625

Phone

(718) 327-2020

Fax

(718) 327-6125

NPI assigned

Jul 21, 2010

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.

• 200 West Optics, LLC

  • Optometrist
  • Brewster, NY
  • NPI 1831770890

  NY, Optometrist

  Medicare reassignment Care Compare group NPD
• Raines Optical Company, LLC

  • Optometrist
  • Far Rockaway, NY
  • NPI 1871627679

  NY, Optometrist

  Medicare reassignment NPD
• 200 West Optics, LLC

  • Optometrist
  • Plainview, NY
  • NPI 1588237457
  Care Compare group
• 200 West Optics, LLC

  • Optometrist
  • New York, NY
  • NPI 1205787520
  NPD
• 200 West Optics, LLC

  • Optometrist
  • Yonkers, NY
  • NPI 1962168575
  NPD
• Eye Express Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1396951372
  NPD (past)

Specialty

Optometry

Education

State University of New York - State College Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

200 West Optics LLC 38 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1265745004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEADOW LN",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052323",
            "telephone_number": "516-567-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913625",
            "telephone_number": "718-327-2020",
            "fax_number": "718-327-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUSE",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV7547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Natalie Prendergast, R.N.
• Prescription World Inc
• Esther Price, MS
• Shanequa Priester
• Tehila Prigan Rayhanian
• Magdalena Puc, RN
• Kathy Pun, OTR/L
• Abigail Punnette, MA IN EDUCATION
• Diana Purkiss, RN
• Maha Qas Marrogy, MD

• All providers in Far Rockaway, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.