Individual provider Active NPI

Kristin Kosch Schaefers

  • Optometrist
  • Randolph, NJ
National Provider Identifier
1316409949
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UNKNOWN Issued in NJ
Practice address
477 Route 10 Ste 103
Randolph, NJ 07869-2143
Phone
(973) 328-1311
NPI assigned
Apr 2, 2019
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UNKNOWN NJ Primary

Addresses

Primary practice location

477 Route 10 Ste 103
Randolph, NJ 07869-2143

Mailing address

477 Route 10 Ste 103
Randolph, NJ 07869-2143
Phone (973) 328-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210319000018 NJ Practitioner - Optometry 1052728029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randolph Eyecare Center PAGroup PAC ID 2769586700, 4 clinicians

Practice addresses (Care Compare)

477 Route 10 E
Suite 103
Randolph, NJ 07869-2143
Phone (973) 328-1311

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Quality
90.53
Improvement activities
40
Cost
75.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UNKNOWNNJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Eyecare Center PA Optometrist CurrentSince Sep 1, 2022 Accepting new patients
J Falco OD LLC Optometrist CurrentSince Feb 26, 2021 Accepting new patients

Locations

159 US Highway 22
Green Brook, NJ 08812
Phone (732) 752-6222

255 US Highway 22
Green Brook, NJ 08812
Phone (732) 752-6222

477 State Route 10
Ste 103
Randolph, NJ 07869
Phone (973) 328-1311

Interoperability endpoints

  • Direct secure messaging: drkosch@randolpheyes.direct.eyemdemr.com

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1316409949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 STE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692143",
            "telephone_number": "973-328-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 STE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692143",
            "telephone_number": "973-328-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFERS",
        "first_name": "KRISTIN",
        "middle_name": "KOSCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.