Individual provider Active NPI

Yitzchok Klapper, OD

  • Optometrist
  • Lakewood, NJ
National Provider Identifier
1497312011
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00689300 Issued in NJ
Practice address
398 Clifton Ave
Lakewood, NJ 08701-3269
Phone
(848) 210-2194
NPI assigned
May 20, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008986 NY
Optometrist 152W00000X 27OA00689300 NJ Primary

Addresses

Primary practice location

398 Clifton Ave
Lakewood, NJ 08701-3269

Mailing address

398 Clifton Ave
Lakewood, NJ 08701-3269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190808000182 NJ Practitioner - Optometry 8527395938 Practice locations: Lakewood, NJ
I20210913003341 NY Practitioner - Optometry 8527395938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and a Optical IncGroup PAC ID 0648317685, 3 clinicians

Practice addresses (Care Compare)

2819 Mermaid Ave
Brooklyn, NY 11224-2092
Phone (718) 265-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A & a Optical Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Clearview Eyecare Inc Optometrist Current Accepting new patients
B & K Family Eyecare BH Inc Optometrist CurrentSince Jul 28, 2024 Accepting new patients
Mermaid Optical Optometrist PastSince Jul 1, 2021 Accepting new patients

Locations

1811 Avenue M
Brooklyn, NY 11230
Phone (718) 684-6905

Organizations & group practices 4

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1497312011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CLIFTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CLIFTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013269",
            "telephone_number": "848-210-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAPPER",
        "first_name": "YITZCHOK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008986",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00689300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.