Individual provider Active NPI

Aaron Schron, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1588693071
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT4465 Issued in NY
Practice address
4608 18TH Ave
Brooklyn, NY 11204-1205
Phone
(718) 851-9578
NPI assigned
Jun 30, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT4465 NY Primary
Optometrist 152W00000X 2004031862 MO

Addresses

Primary practice location

4608 18TH Ave
Brooklyn, NY 11204-1205

Mailing address

4608 18TH Ave
Brooklyn, NY 11204-1205
Phone (718) 851-9578

Other identifiers 1

IdentifierTypeStateIssuer
00888413MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000079 NY Practitioner - OptometryPractitioner - Ophthalmology 0648458646 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4608 18TH Ave
Brooklyn, NY 11204-1205
Phone (718) 851-9578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004031862MOMDOptometrist
VUT4465NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1588693071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041205",
            "telephone_number": "718-851-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041205",
            "telephone_number": "718-851-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRON",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT4465",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004031862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.