Individual provider Active NPI

Jerome M. Kramer, O.D.

  • Corneal and Contact Management Optometrist
  • Westbury, NY
National Provider Identifier
1437259637
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TUV4046 Issued in NY
Practice address
209 Post Ave
Westbury, NY 11590-3019
Phone
(516) 333-0222
Fax
(516) 333-0263
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV4046 NY Primary

Addresses

Primary practice location

209 Post Ave
Westbury, NY 11590-3019

Mailing address

209 Post Ave
Westbury, NY 11590-3019
Phone (516) 333-0222

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
I20110322000268 NY Practitioner - Optometry 5890977227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 I U Willets Rd
Suite 1
Albertson, NY 11507-1342
Phone (516) 333-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV4046NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Eye Optique LLC CurrentSince May 1, 2013 Accepting new patients
Copeland Fertig & Kramer Optometric Eye Associates LLP PastSince Oct 3, 2010 Accepting new patients

Locations

175 I U Willets Rd
Albertson, NY 11507
Phone (516) 333-0222

175 I U Willets Rd
Ste 1
Albertson, NY 11507
Phone (516) 333-0222

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, 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1437259637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903019",
            "telephone_number": "516-333-0222",
            "fax_number": "516-333-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903019",
            "telephone_number": "516-333-0222",
            "fax_number": "516-333-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JEROME",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV4046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.