Individual provider Active NPI

Andrea Kassoff, OD

  • Optometrist
  • Albany, NY
National Provider Identifier
1831763069
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009526 Issued in NY
Practice address
63 Shaker Rd Ste 101
Albany, NY 12204-1080
Phone
(518) 928-5856
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 009526 NY Primary

Addresses

Primary practice location

63 Shaker Rd Ste 101
Albany, NY 12204-1080

Mailing address

63 Shaker Rd Ste 101
Albany, NY 12204-1080

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
I20220808002596 NY Practitioner - Optometry 4789082520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Eye Associates Physicians and Surgeons PCGroup PAC ID 4688610629, 9 clinicians

Practice addresses (Care Compare)

63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone 5184341042108

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5468MAMDOptician
009526NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Eye Associates Physicians & Surgeons PC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

63 Shaker Rd
Ste 101
Albany, NY 12204
Phone (518) 434-1042

Interoperability endpoints

  • Direct secure messaging: drlabunski@albanyeyeassociates.medentdirect.com

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1831763069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD STE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD STE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041080",
            "telephone_number": "518-928-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOFF",
        "first_name": "ANDREA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.