Jeffrey Kraushaar, O.D.
Individual provider Active NPI Optometrist · Shoreham, NY
NPI 1700860269 · NPPES record last updated Mar 6, 2008
Key facts
- NPI
- 1700860269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV004145-1 (NY)
- Practice address
- 45 Route 25a
Shoreham, NY 11786-1389 - Phone
- (631) 821-2244
- Fax
- (631) 821-4228
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
45 Route 25a
Suite F
Shoreham, NY 11786-1389
Phone (631) 821-2244
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110330000262 | NY | Practitioner - Optometry | 5799808671 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: Shoreham, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004145 | NY | MD | Nutritionist |
| TUV004145-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundview Optometry, PLLC | Optometrist | Current |
Accepting new patients |
| Rory Bowman OD PC | Optometrist | Past |
Accepting new patients |
| Stony Brook Opticians Inc | Past |
Accepting new patients | |
| Stony Brook Ophthalmology, University Faculty Practice Corporation | Past | Accepting new patients |
Locations
45 Route 25A
Ste F
Shoreham, NY 11786
Phone (631) 821-2244
45 Route 25A
Shoreham, NY 11786
Phone (631) 744-2288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004145-1 | NY | Yes |
Addresses
Primary practice location
45 Route 25a
Shoreham, NY 11786-1389
Mailing address
45 Route 25a
Shoreham, NY 11786-1389
Phone (631) 821-2244
Other providers in Shoreham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.