Individual provider Active NPI

Fikret Kajoshaj, O.D.

  • Optometrist
  • Westbury, NY
National Provider Identifier
1265870448
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5477 Issued in FL
Practice address
1600 Stewart Ave Ste 306
Westbury, NY 11590-6611
Phone
(516) 794-2020
Fax
(516) 794-2029
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5477 FL Primary
Optometrist 152W00000X TUV007965-1 NY

Addresses

Primary practice location

1600 Stewart Ave Ste 306
Westbury, NY 11590-6611

Mailing address

9375 66TH St N
Pinellas Park, FL 33782-4418
Phone (727) 541-4469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20141110000506 NY Practitioner - Optometry 3779705678 Reassigns benefits to 1 organization
I20210721000697 FL Practitioner - Optometry 3779705678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007965-1NYMDOptometrist
007965-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Vision Specialty Associates, P.a. Optometrist Past Accepting new patients

Locations

1661 SE US Highway 19
Crystal River, FL 34429
Phone (352) 563-1666

2637 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 637-5180

35170 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 359-7603

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

10041 US Highway 19
Ste A
Port Richey, FL 34668
Phone (727) 859-9009

10755 Park Blvd
Seminole, FL 33772
Phone (727) 392-0907

13161 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0410

4359 35th St N
St Petersburg, FL 33714
Phone (727) 525-3959

1915 34th St N
St Petersburg, FL 33713
Phone (727) 485-8146

5412 Central Ave
St Petersburg, FL 33707
Phone (727) 327-8855

3830 Sun City Center Blvd
Sun City Center, FL 33573

7400 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 782-4546

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1265870448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824418",
            "telephone_number": "727-541-4469",
            "fax_number": "727-546-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 306",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-794-2020",
            "fax_number": "516-794-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJOSHAJ",
        "first_name": "FIKRET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5477",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007965-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.