Individual provider Active NPI

Shan Akhtar Haroon

  • Optometrist
  • New Rochelle, NY
National Provider Identifier
1306503214
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009473 Issued in NY
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

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206000058 FL Practitioner - Optometry 5395139406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite Medical FL PLLCGroup PAC ID 9931446887, 8 clinicians

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

LicenseStateTypeSpecialty
009473NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Assist LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Bright Eyes Optometry CurrentSince Nov 28, 2021 Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.