Jeffrey Kraushaar, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004145-1 Issued in NY

Practice address

45 Route 25a
Shoreham, NY 11786-1389

Phone

(631) 821-2244

Fax

(631) 821-4228

NPI assigned

Nov 30, 2005

Last updated

Mar 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soundview Optometry PLLCGroup PAC ID 1557628138, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Daniel Kraushaar, O.D.

  • Optometrist
  • Shoreham, NY
  • NPI 1912262171
  Medicare reassignment

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.

• Soundview Optometry, PLLC

  • Optometrist
  • Shoreham, NY
  • NPI 1689192551
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Kraushaar

  • Eyewear Supplier
  • Shoreham, NY
  • NPI 1215115605
  Authorized official Same address or phone
• Rory Bowman OD PC

  • Optometrist
  • Stony Brook, NY
  • NPI 1124347729
  NPD (past)
• Stony Brook Ophthalmology, University Faculty Practice Corporation

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1700831195
  NPD (past)
• Stony Brook Opticians Inc

  dba Wiggs Opricians

  • Eyewear Supplier
  • Stony Brook, NY
  • NPI 1588994651
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1700860269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A",
            "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",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-821-2244",
            "fax_number": "631-821-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSHAAR",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004145-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimisha P Joshi, R.PH
• Annmarie Kane, CCC-SLP
• Peter Andrew Kaufmann, DC
• Caitlin Margaret Kelly
• Hariton Kousourou, M.D.
• Justin Daniel Kraushaar, O.D.
• Karen Krol-Reilly, PTA
• Richard Kubiak, MD
• Christine Lange, SLP
• Katharine Lo Russo

• 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 Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.