Jeffrey David Stark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005062 Issued in NY

Practice address

2472 Broadway
New York, NY 10025-7449

Phone

(212) 362-8090

Fax

(212) 875-1488

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Cooper O.D., P.C.

  dba Cooper Panariello Eye Institute

  • Optometrist
  • Brooklyn, NY
  • NPI 1760245609
  Medicare reassignment Care Compare group NPD
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1649033531
  NPD
• Jeffrey Cooper O.D., P.C.

  dba Central Eyes Optical

  • Optometrist
  • Hartsdale, NY
  • NPI 1982467551
  NPD
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1043073927
  NPD (past)
• Jeffrey Cooper O.D., P.C.

  dba Metro Optics

  • Optometrist
  • Bronx, NY
  • NPI 1124881057
  NPD (past)
• Stuart Blankman Optometrist PC

  • Optometrist
  • New York, NY
  • NPI 1356606396
  NPD (past)
• Terri Optics

  • Optometrist
  • Dobbs Ferry, NY
  • NPI 1083714182
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295809937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOHEGAN PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041304",
            "telephone_number": "914-654-4967",
            "fax_number": "914-654-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257449",
            "telephone_number": "212-362-8090",
            "fax_number": "212-875-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02324927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Stark, PSYD
• Edward Stark, M.D.
• Eileen M. Stark, PNP
• James William Stark, M.D.
• Jane S Stark, LCSW, CASAC
• Meghan Angel Stark, MSPT, DPT
• Michael I Stark, PHD
• Raymond Stark
• Richard Stark, MD
• Robin Caryl Stark, LCSW R

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.