Organization Active NPI

Stuart L. Sklar O.D. P.C.

  • Optometrist
  • Port Chester, NY
National Provider Identifier
1861671158
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STUART L. SKLAR O.D. P.C.
Practice address
29 Waterfront PL
Port Chester, NY 10573-6001
Phone
(914) 939-0982
Fax
(914) 939-1041
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Stuart L Sklar, ODNPI 1952387870
Title
Optometrist
Phone
(914) 939-0982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY Primary

Addresses

Primary practice location

29 Waterfront PL
Port Chester, NY 10573-6001

Mailing address

29 Waterfront PL
Port Chester, NY 10573-6001
Phone (914) 939-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000286 NY Part B Supplier - Clinic/Group Practice 1355422627 Receives reassigned benefits from 1 practitioner
Practice locations: Port Chester, NY

National Provider Directory

National Provider Directory

Locations

15 N Main St
Port Chester, NY 10573
Phone (914) 939-0982

29 Waterfront Pl
Port Chester, NY 10573
Phone (914) 939-0982

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1861671158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WATERFRONT PL",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105736001",
            "telephone_number": "914-939-0982",
            "fax_number": "914-939-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WATERFRONT PL",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105736001",
            "telephone_number": "914-939-0982",
            "fax_number": "914-939-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L. SKLAR O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "914-939-0982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.