Jason M Bart I, OD
Individual provider Active NPI Optometrist · Levittown, NY
NPI 1962594903 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1962594903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV006342 (NY)
- Practice address
- 3697 Hempstead Tpke
Levittown, NY 11756-1316 - Phone
- (516) 796-2020
- NPI assigned
- Sep 28, 2006
- Reactivated
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
812 Hicksville Rd
N Massapequa, NY 11758-1262
Phone (516) 796-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000584 | NY | Practitioner - Optometry | 5698673986 | Practice locations: N Massapequa, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006342 | NY | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006342 | NY | Yes |
Addresses
Primary practice location
3697 Hempstead Tpke
Levittown, NY 11756-1316
Mailing address
3697 Hempstead Tpke
Levittown, NY 11756-1316
Phone (516) 796-2020
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.