Individual provider Active NPI

Jeffrey Louis Lubin, O.D.

  • Optometrist
  • Woodbury, NY
National Provider Identifier
1285627687
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003468 Issued in NY
Practice address
136 Woodbury Rd
Woodbury, NY 11797-1411
Phone
(516) 692-5660
Fax
(516) 692-5664
NPI assigned
Aug 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003468 NY Primary

Addresses

Primary practice location

136 Woodbury Rd
Woodbury, NY 11797-1411

Mailing address

136 Woodbury Rd
Woodbury, NY 11797-1411
Phone (516) 692-5660

Other identifiers 1

IdentifierTypeStateIssuer
00388885MedicaidNY

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
I20101116000311 NY Practitioner - Optometry 8022203041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

408 Wilson Ave
New Square, NY 10977-1946
Phone (845) 354-9300

5 Twin Ave
Spring Valley, NY 10977-3950
Phone (845) 354-9300

728 N Main St
Spring Valley, NY 10977-8614

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003468NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc CurrentSince Jan 1, 2012 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Long Island Psychotherapy & Counseling, LCSW P.C. Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Interoperability endpoints

  • Direct secure messaging: jeffrey.lubin@rhcnys.eclinicaldirectplus.com

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, 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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285627687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971411",
            "telephone_number": "516-692-5660",
            "fax_number": "516-692-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971411",
            "telephone_number": "516-692-5660",
            "fax_number": "516-692-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00388885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.