Individual provider Active NPI

Aaron T Soto, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1467062992
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009136 Issued in NY
Practice address
608 2ND Ave
New York, NY 10016-4859
Phone
(212) 686-1653
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 TUV009136 NY Primary

Addresses

Primary practice location

608 2ND Ave
New York, NY 10016-4859

Mailing address

6 Lowell PL
Hicksville, NY 11801-2500

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
I20201119001696 NY Practitioner - Optometry 8729499959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kips Bay Optical LTDGroup PAC ID 5597110502, 3 clinicians

Practice addresses (Care Compare)

608 2ND Ave
New York, NY 10016-4859
Phone (212) 686-1653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009136NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Optical LTD Optometrist CurrentSince Jan 28, 2024 Accepting new patients
Rye Eye Care OD PLLC Optometrist PastSince Jan 21, 2024 Accepting new patients

Locations

608 2nd Ave
New York, NY 10016
Phone (212) 686-1653

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1467062992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOWELL PL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164859",
            "telephone_number": "212-686-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "AARON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.