Organization Active NPI

David Wasserlauf OD PC

  • Optometrist
  • Monroe, NY
National Provider Identifier
1568023992
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAVID WASSERLAUF OD PC
Practice address
501 State Route 208 Ste 201
Monroe, NY 10950-1611
Phone
(845) 218-7106
Fax
(845) 218-7117
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
David Wasserlauf, ODNPI 1639518202
Title
Optometrist
Phone
(347) 558-3413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

501 State Route 208 Ste 201
Monroe, NY 10950-1611

Mailing address

9-01 Saddle River Rd
Fair Lawn, NJ 07410-5717
Phone (347) 558-3413

Other practice location 1

40 Main St
Monsey, NY 10952-3009
Phone (845) 385-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731001515 NY Part B Supplier - Clinic/Group Practice 7214263037 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NY

National Provider Directory

National Provider Directory

Locations

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

501 State Route 208
Ste 201
Monroe, NY 10950
Phone (845) 218-7106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1568023992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-01 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105717",
            "telephone_number": "347-558-3413",
            "fax_number": "845-352-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ROUTE 208 STE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501611",
            "telephone_number": "845-218-7106",
            "fax_number": "845-218-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Main St",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523009",
            "country_code": "US",
            "telephone_number": "845-385-9500",
            "fax_number": "845-352-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID WASSERLAUF OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "WASSERLAUF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-558-3413",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.