Individual provider Active NPI

Stuart L Sklar, OD

  • Optometrist
  • Port Chester, NY
National Provider Identifier
1952387870
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004947 Issued in NY
Practice address
29 Waterfront PL
Port Chester, NY 10573-6001
Phone
(914) 939-0982
Fax
(914) 639-1041
NPI assigned
Dec 22, 2005
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT004947 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
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
I20071231000013 NY Practitioner - Optometry 8325128531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004947NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart L. Sklar O.D. P.C. Optometrist CurrentSince May 5, 2003 Accepting new patients
Nancy J. Schiffman, OD PC. Optometrist Past Accepting new patients

Locations

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

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1952387870",
    "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": "914-639-1041"
        },
        {
            "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": "914-639-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "STUART",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.