Daniel Rafaelov, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009014 Issued in NY

Practice address

340 Jay St
Brooklyn, NY 11201-2930

Phone

(718) 858-5000

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Eyecrafters LLCGroup PAC ID 0547545469, 2 clinicians

Family Eye Center IncGroup PAC ID 9739497181, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eyecrafters LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1235559691
  Medicare reassignment Care Compare group NPD
• Family Eye Center Inc

  • Optometrist
  • Rego Park, NY
  • NPI 1467836551
  Medicare reassignment Care Compare group
• Daniel Rafaelov OD P.C.

  • Optometrist
  • Brooklyn, NY
  • NPI 1851939441
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1851943427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012930",
            "telephone_number": "718-858-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012930",
            "telephone_number": "718-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAELOV",
        "first_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadassa Radzik
• Sarah Radzik
• Rivka Radziminski, M.S.
• Anna Krystyna Radziwon, DDS
• Arlene Rafaeli, SLP
• Hilary Esther Rafaelov, SLP
• Oriel Rafaelov
• Sabrina Rafaelov
• Sahil Rafai, MD
• Elchin Rafailov, LIVERY CAR SERVICE

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.