Individual provider Active NPI

Anastasios Fokas, O.D.

  • Optometrist
  • Astoria, NY
National Provider Identifier
1275533432
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005764 Issued in NY
Practice address
2318 31St St
Suite # 220
Astoria, NY 11105-2892
Phone
(718) 626-3944
Fax
(718) 626-4933
NPI assigned
Jul 28, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005764 NY Primary

Addresses

Primary practice location

2318 31St St
Suite # 220
Astoria, NY 11105-2892

Mailing address

2182 Steinway St
Astoria, NY 11105-1805
Phone (718) 626-3944

Other identifiers 2

IdentifierTypeStateIssuer
02114056MedicaidNY
5534730001OtherNYDURABLE GOODS

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
I20091028000499 NY Practitioner - Optometry 0446396386 Reassigns benefits to 1 organization
Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
College Point Optometric Associates P.C.Group PAC ID 7517043300, 2 clinicians

Practice addresses (Care Compare)

1826 College Point Blvd
College Point, NY 11356-2221
Phone (718) 359-2834

Merit-based Incentive Payment System (MIPS)

Final score
71.14 of 100Reported as individual
Quality
35
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
65 of 100Reported as individual
Quality
30
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005764NYMDOptometrist
005764NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pension Committee Joint Industry Board Past Accepting new patients
Mt Sinai School of Medicine of New York University Past Accepting new patients

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1275533432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051805",
            "telephone_number": "718-626-3944",
            "fax_number": "718-626-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "address_2": "SUITE # 220",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052892",
            "telephone_number": "718-626-3944",
            "fax_number": "718-626-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOKAS",
        "first_name": "ANASTASIOS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-07-23",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02114056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE GOODS",
            "identifier": "5534730001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.