Individual provider Active NPI

Irina Schawaroch, OD

  • Optometrist
  • Hauppauge, NY
National Provider Identifier
1770846990
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007840-1 Issued in NY
Practice address
812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949
Phone
(631) 750-7051
Fax
(631) 246-0935
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007840-1 NY Primary

Addresses

Primary practice location

812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949

Mailing address

812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949
Phone (631) 750-7051

Other practice location 1

1704 Church Ave
Brooklyn, NY 11226-2630
Phone (718) 684-5000

Other names 1

  • Irina Beneraf Former name

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
I20121219000344 NY Practitioner - Optometry 5092967190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Optometry Vision Care PLLCGroup PAC ID 3678980620, 4 clinicians

Practice addresses (Care Compare)

77 Veterans Hwy
Suite 6
Commack, NY 11725-3410
Phone (631) 499-8811

812 Wheeler Rd
Suite 106
Hauppauge, NY 11788-2949
Phone (631) 750-7051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TUV007840-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesonsah LLC Optometrist CurrentSince Jul 6, 2022 Accepting new patients
Professional Optometry Vision Care PLLC Optometrist CurrentSince Aug 13, 2024 Accepting new patients
North Shore-Lij Medical PC PastSince Oct 1, 2014 Accepting new patients

Locations

77 Veterans Memorial Hwy
Ste 6
Commack, NY 11725
Phone (631) 499-8811

812 Wheeler Rd
Ste 106
Hauppauge, NY 11788
Phone (631) 750-7051

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1770846990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882949",
            "telephone_number": "631-750-7051",
            "fax_number": "631-246-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882949",
            "telephone_number": "631-750-7051",
            "fax_number": "631-246-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112262630",
            "country_code": "US",
            "telephone_number": "718-684-5000",
            "fax_number": "718-684-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAWAROCH",
        "first_name": "IRINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007840-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "BENERAF",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.