Active NPI
Alan Schwartz, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1639234107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 005141
- Practice address
- 4601 13TH Ave
Brooklyn, NY 11219-2631 - Phone
- (845) 436-5577
- Fax
- (845) 436-5577
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 005141 | NY | Primary |
Addresses
Primary practice location
4601 13TH Ave
Brooklyn, NY 11219-2631
Mailing address
1202 Caffrey Ave
Far Rockaway, NY 11691-5249
Phone (908) 838-4056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01208180 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear-View Eyewear | Past | 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.
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1881752244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639234107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 CAFFREY AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915249",
"telephone_number": "908-838-4056",
"fax_number": "718-327-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192631",
"telephone_number": "845-436-5577",
"fax_number": "845-436-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "ALAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "005141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01208180",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, 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.