Active NPI
Morton Kaplan, O.D.
- Optometrist
- Peekskill, NY
National Provider Identifier
1477539682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2675T
- Practice address
- 1865 Main St
Beach Shopping Center
Peekskill, NY 10566-2505 - Phone
- (914) 737-0437
- Fax
- (914) 737-8167
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2675T | NY | Primary |
Addresses
Primary practice location
1865 Main St
Beach Shopping Center
Peekskill, NY 10566-2505
Mailing address
55 Somerset Dr
Suffern, NY 10901-6905
Phone (201) 906-4845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00511913 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675T | NY | MD | Optometrist |
| 002675 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1477539682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SOMERSET DR",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109016905",
"telephone_number": "201-906-4845",
"fax_number": "914-737-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 MAIN ST",
"address_2": "BEACH SHOPPING CENTER",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662505",
"telephone_number": "914-737-0437",
"fax_number": "914-737-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "MORTON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "2675T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00511913",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.