Individual provider Active NPI

Anthony John Jarecke, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1689748915
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5840T Issued in TX
Practice address
33 W 42ND St
New York, NY 10036-8005
Phone
(212) 938-4067
Fax
(212) 938-4071
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100103 ID
Optometrist 152W00000X 5840T TX Primary

Addresses

Primary practice location

33 W 42ND St
New York, NY 10036-8005

Mailing address

333 River St
Apt 909
Hoboken, NJ 07030-5856
Phone (646) 675-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190326001876 CO Practitioner - Optometry 1850631045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abba Eye Care PCGroup PAC ID 1355231051, 26 clinicians

Practice addresses (Care Compare)

1500 S Main St
Lamar, CO 81052-3824
Phone (719) 336-0417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100103IDMDOptometrist
5840TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Feb 2, 2019 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 2, 2019 Accepting new patients

Locations

2101 Main St
Ste D
Alamosa, CO 81101
Phone (719) 589-2020

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

4430 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 635-2020

1813 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020

420 N Main St
Gunnison, CO 81230
Phone (719) 641-2020

102 Santa Fe Ave
La Junta, CO 81050
Phone (719) 384-2020

314 Colorado Ave
La Junta, CO 81050
Phone (303) 544-8331

1500 S Main St
Lamar, CO 81052
Phone (719) 336-0417

2800 Cornerstone Dr
Ste A6
Pagosa Springs, CO 81147
Phone (970) 731-4300

900 W Northern Ave
Pueblo, CO 81004
Phone (719) 542-2222

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

Organizations & group practices 3

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689748915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RIVER ST",
            "address_2": "APT 909",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305856",
            "telephone_number": "646-675-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-4067",
            "fax_number": "212-938-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARECKE",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100103",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5840T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.