Active NPI
Shan Akhtar Haroon
- Optometrist
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009473
- Practice address
- 177B E Main St
New Rochelle, NY 10801-5711 - Phone
- (914) 730-9574
- NPI assigned
- Nov 26, 2021
- Sex
- Male
- 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 | 009473 | NY | Primary |
Addresses
Primary practice location
177B E Main St
New Rochelle, NY 10801-5711
Mailing address
12322 NW 54TH CT
Coral Springs, FL 33076-3410
Phone (954) 796-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17781 Thelma Ave
Jupiter, FL 33458-7942
Phone (561) 746-2998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009473 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Assist LLC | Optometrist | Current | Accepting new patients |
| Bright Eyes Optometry | Current | Accepting new patients | |
| Sightrite Medical FL PLLC | Optometrist | Current | Accepting new patients |
Locations
575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226
6555 Nova Dr
Ste 304
Davie, FL 33317
Phone (561) 960-2020
17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
267 Broadway
Brooklyn, NY 11211
51 E Prospect Ave
Mount Vernon, NY 10550
Phone (914) 668-1324
177 E Main St
#B
New Rochelle, NY 10801
Phone (914) 355-4775
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.
-
- Health Service Clinic/Center
- Mount Vernon, NY
- NPI 1710527981
-
- Optometrist
- Pensacola, FL
- NPI 1427752823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1306503214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12322 NW 54TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763410",
"telephone_number": "954-796-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177B E MAIN ST",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015711",
"telephone_number": "914-730-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAROON",
"first_name": "SHAN",
"middle_name": "AKHTAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.