Active NPI
Shari Lynn Hausman, OD
- Optometrist
- New York, NY
National Provider Identifier
1295831410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005254-1
- Practice address
- 4250 Broadway
New York, NY 10033-3748 - Phone
- (212) 795-5640
- Fax
- (212) 927-6200
- NPI assigned
- Sep 15, 2006
- Last updated
- Apr 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005254-1 | NY | Primary |
Addresses
Primary practice location
4250 Broadway
New York, NY 10033-3748
Mailing address
15 Eagle RDG
Montvale, NJ 07645-1357
Phone (201) 505-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005254-1 | NY | MD | Optometrist |
Organizations & group practices 2
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": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1295831410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EAGLE RDG",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451357",
"telephone_number": "201-505-0151",
"fax_number": "212-927-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333748",
"telephone_number": "212-795-5640",
"fax_number": "212-927-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSMAN",
"first_name": "SHARI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005254-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.