Individual provider Active NPI

Sanford Katims, O.D.

  • Optometrist
  • Port Washington, NY
National Provider Identifier
1396833430
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
004141 Issued in NY
Practice address
76 Main St
Port Washington, NY 11050-2821
Phone
(516) 767-2106
Fax
(516) 944-3711
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 004141 NY Primary

Addresses

Primary practice location

76 Main St
Port Washington, NY 11050-2821

Mailing address

76 Main St
Port Washington, NY 11050-2821
Phone (516) 767-2106

Other identifiers 1

IdentifierTypeStateIssuer
T48979OtherNYMEDICARE UPIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110406000058 NY Practitioner - Optometry 4688796816 Practice locations: Port Washington, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

76 Main St
Port Washington, NY 11050-2821
Phone (516) 767-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rachel Katims, O.D., PLLC Optometrist PastSince Oct 20, 2019 Accepting new patients
Dr. Sanford Katims Optometrist PastSince Sep 3, 1993 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1396833430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502821",
            "telephone_number": "516-767-2106",
            "fax_number": "516-944-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502821",
            "telephone_number": "516-767-2106",
            "fax_number": "516-944-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIMS",
        "first_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "T48979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.