Individual provider Active NPI

Karen Sharon Cummings, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1730103631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006080 Issued in NY
Practice address
1416 Rockaway Pkwy
Brooklyn, NY 11236-2322
Phone
(718) 257-2339
Fax
(718) 272-7171
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006080 NY Primary

Addresses

Primary practice location

1416 Rockaway Pkwy
Brooklyn, NY 11236-2322

Mailing address

751 E 89TH St
10
Brooklyn, NY 11236-3634
Phone (718) 272-6541

Other identifiers 1

IdentifierTypeStateIssuer
02188943MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160818001054 NY Practitioner - Optometry 1254626088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T006080NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Vision Optical Corp Optometrist CurrentSince Mar 31, 2024 Accepting new patients
Ahfk Optical Inc. Optometrist Past Accepting new patients

Locations

11117 Lefferts Blvd
South Ozone Park, NY 11420
Phone (718) 738-0620

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730103631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 89TH ST",
            "address_2": "10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363634",
            "telephone_number": "718-272-6541",
            "fax_number": "718-272-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362322",
            "telephone_number": "718-257-2339",
            "fax_number": "718-272-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KAREN",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02188943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.