Individual provider Active NPI

Karen M Perekalsky, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1770696916
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007048 Issued in NY
Practice address
2384 Broadway
New York, NY 10024-1703
Phone
(212) 724-0850
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV007048 NY
Optometrist 152W00000X TUV007048 NY Primary
Optometrist 152W00000X 171657 NY

Addresses

Primary practice location

2384 Broadway
New York, NY 10024-1703

Mailing address

2384 Broadway
New York, NY 10024-1703
Phone (212) 724-0850

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
I20060829000109 NY Practitioner - Optometry 7315941614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

436 Woodbury Rd
Plainview, NY 11803-1001
Phone (516) 822-8971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007048NYMDPsychologist
171657NYMDOptometrist
TUV007048NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elegant Eyewear Inc Optometrist CurrentSince May 22, 2019 Accepting new patients

Locations

436 Woodbury Rd
Plainview, NY 11803
Phone (516) 822-8971

Organizations & group practices 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1770696916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241703",
            "telephone_number": "212-724-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241703",
            "telephone_number": "212-724-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREKALSKY",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV007048",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007048",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "171657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.