Soundview Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004145 Issued in NY

Legal business name

SOUNDVIEW OPTOMETRY, PLLC

Practice address

45 Route 25a Ste F
Shoreham, NY 11786-1389

Phone

(631) 821-2244

Fax

(631) 821-4228

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Kraushaar, ODNPI 1700860269

Title

Owner/Optometrist

Phone

(631) 821-2244

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Kraushaar, O.D.

  • Optometrist
  • Shoreham, NY
  • NPI 1700860269
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Daniel Kraushaar, O.D.

  • Optometrist
  • Shoreham, NY
  • NPI 1912262171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689192551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE F",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-821-2244",
            "fax_number": "631-821-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE F",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-821-2244",
            "fax_number": "631-821-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDVIEW OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAUSHAAR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "631-821-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "150372P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "493015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8871056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "C31421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4195280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P674682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoreham-Wading River Central School District
• Luann Simmons, BSN, RN
• Jason Richard Slote
• Jenna Lauren Sonnenberg
• Sound Family Medicine PC
• Linda Marie Spallina, LMSW
• Rachel Haley Stearns, PA
• Lee Steimel, RN
• Danielle Faye Stoebe, RPA-C
• Kathleen Erin Thomas, LPN

• Optometrist in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.