Active NPI
Jeffrey Seymour Starr, OD
- Optometrist
- Bayside, NY
National Provider Identifier
1477692747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0042421
- Practice address
- 2 Bay Club Drive
Suite 6Y
Bayside, NY 11360-2923 - Phone
- (718) 767-6612
- Fax
- (718) 767-6612
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0042421 | NY | Primary |
| Optometrist | 152W00000X | 00986 | CT | |
| Optometrist | 152W00000X | 4322 | NJ |
Addresses
Primary practice location
2 Bay Club Drive
Suite 6Y
Bayside, NY 11360-2923
Mailing address
2 Bay Club Drive
Suite 6Y
Bayside, NY 11360-2923
Phone (718) 767-6612
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 |
|---|---|---|---|
| 00986 | CT | MD | Optometrist |
| 4322 | NJ | MD | Optometrist |
| TUV0042421 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satija Vision Care Optometry, P.C. | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- New York, NY
- NPI 1609429414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477692747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BAY CLUB DRIVE",
"address_2": "SUITE 6Y",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602923",
"telephone_number": "718-767-6612",
"fax_number": "718-767-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BAY CLUB DRIVE",
"address_2": "SUITE 6Y",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602923",
"telephone_number": "718-767-6612",
"fax_number": "718-767-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "JEFFREY",
"middle_name": "SEYMOUR",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0042421",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "00986",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.