Jacob C Shafran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

UVT4560 Issued in NY

Practice address

1901 Utica Ave
Brooklyn, NY 11234

Phone

(718) 968-8700

Fax

(718) 968-8743

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacob C Shafran Optometry PLLCGroup PAC ID 9032557145, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

78.57 of 100Reported as individual

Quality

37.14

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visual Optometry PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1871351155
  Medicare reassignment Care Compare group NPD Authorized official
• Sightrite Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1336562644
  Medicare reassignment NPD
• Wise Medical Ny PC

  • Optometrist
  • Brooklyn, NY
  • NPI 1245751882
  Medicare reassignment NPD
• Mark Fromer, MD PC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1194851774
  NPD (past)
• Medical Network Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871507731
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1396841847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LAFAYETTE DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-569-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-968-8700",
            "fax_number": "718-968-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAN",
        "first_name": "JACOB",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UVT4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tooba Shafiq, MD
• Kiran Shafique, OTR/L
• Mohammad Shafique, D.D.S.
• Marina Shafiro, LCSW - R
• Esther Menucha Shafran, SPECIAL ED
• Shafy Pharmacy Inc
• Chana Sara Shagalow
• Nadezhda Shagumova, M.D.
• Krishnakant Ravibhai Shah Aka Khandelwal, MD
• Aarati Shah, DMD

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.

Verify at the official NPI Registry.