Active NPI
Jason M Bart I, OD
- Optometrist
- Levittown, NY
National Provider Identifier
1962594903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006342
- Practice address
- 3697 Hempstead Tpke
Levittown, NY 11756-1316 - Phone
- (516) 796-2020
- NPI assigned
- Sep 28, 2006
- Reactivated
- Mar 29, 2007
- Last updated
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006342 | NY | Primary |
Addresses
Primary practice location
3697 Hempstead Tpke
Levittown, NY 11756-1316
Mailing address
3697 Hempstead Tpke
Levittown, NY 11756-1316
Phone (516) 796-2020
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000584 | NY | Practitioner - Optometry | 5698673986 | Practice locations: N Massapequa, NY |
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006342 | NY | MD | Optometrist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- N Massapequa, NY
- NPI 1326183252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1962594903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3697 HEMPSTEAD TPKE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117561316",
"telephone_number": "516-796-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3697 HEMPSTEAD TPKE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117561316",
"telephone_number": "516-796-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BART",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2015-02-26",
"deactivation_date": "2007-02-13",
"reactivation_date": "2007-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.