Individual provider Active NPI

Aaron Jay From, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1649225277
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VOT3547 Issued in NY
Practice address
49 Lee Ave
Brooklyn, NY 11211
Phone
(718) 782-0999
Fax
(212) 673-0253
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VOT3547 NY Primary
Optometrist 152W00000X TOV0035471 NY

Addresses

Primary practice location

49 Lee Ave
Brooklyn, NY 11211

Mailing address

500 B Grand St
Suite 1a
New York, NY 10002

Other identifiers 1

IdentifierTypeStateIssuer
00337917MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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
I20120105000806 NY Practitioner - Optometry 7719000645 Practice locations: Brooklyn, NY
O20100930062539 NY DME Supplier - Physician - OptometristDME Supplier - Optician 8628191558 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Lee Ave
Brooklyn, NY 11211-7514
Phone (718) 782-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003547NYMDBehavioral Analyst
TOV0035471NYMDOptometrist
VOT3547NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Marc Jacobson MD PLLC PastSince Jul 1, 2020 Accepting new patients
Hatzluche Optical Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1649225277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 B GRAND ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LEE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-782-0999",
            "fax_number": "212-673-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROM",
        "first_name": "AARON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VOT3547",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TOV0035471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00337917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.