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KRISTIN ANN PROTOSOW OPTOMETRIST OD NPI 1063688547


NPI Information

NPI: 1063688547
Provider Name: KRISTIN ANN PROTOSOW, OPTOMETRIST, OD
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
624 HAWKINS AVE
SUITE 1
RONKONKOMA, NY
ZIP 11779
Phone: (631) 588-5100
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Kristin Ann Protosow, OPTOMETRIST, OD is a low vision rehabilitation optometrist in Ronkonkoma, NY with 17 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. Kristin Ann Protosow, OPTOMETRIST, OD NPI is 1063688547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year:2007

The provider's business location address is:

624 HAWKINS AVE
SUITE 1
RONKONKOMA, NY
ZIP 11779-375
Phone: (631) 588-5100
Fax: (631) 588-5185

The NPI 1063688547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 5/5/2008 and was last updated on 11/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision RehabilitationTUV007254-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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