Individual provider Active NPI

Jeffrey Seymour Starr, OD

  • Optometrist
  • Bayside, NY
National Provider Identifier
1477692747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0042421 Issued in NY
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00986CTMDOptometrist
4322NJMDOptometrist
TUV0042421NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Satija Vision Care Optometry, P.C. Optometrist CurrentSince Aug 1, 2019 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.

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.

Verify at the official NPI Registry.