Individual provider

Kristin Protosow, OPTOMETRIST, OD

Low Vision Rehabilitation Optometrist Medicare enrolled

Kristin Protosow, OPTOMETRIST, OD is a provider specialising in Low Vision Rehabilitation Optometrist in Ronkonkoma, NY, registered under NPI 1063688547. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 624 HAWKINS AVE SUITE 1, Ronkonkoma, NY 11779. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

624 HAWKINS AVE SUITE 1, Ronkonkoma, NY 11779 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
TUV007254-1 NY Low Vision Rehabilitation Optometrist primary

This provider holds licence TUV007254-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Optometry
PAC ID
2163593757
Enrollment ID
I20080625000727

Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Low Vision Rehabilitation covers

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. NUCC Health Care Provider Taxonomy, code 152WL0500X
Eye and Vision Services Providers Optometrist Low Vision Rehabilitation

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063688547 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 5, 2008
Last updatedNov 18, 2011
StatusActive
Sole proprietorYes
CredentialOPTOMETRIST, OD
Practice address 624 HAWKINS AVE
SUITE 1
Ronkonkoma, NY 11779
(631) 588-5100
Fax (631) 588-5185
Mailing address 624 HAWKINS AVE. SUITE 1
Ronkonkoma, NY 11779
This record was last updated on Nov 18, 2011, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063688547 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 8 8 5 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 8 7 5 8

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063688547?
NPI 1063688547 is the National Provider Identifier assigned to Kristin Protosow, OPTOMETRIST, OD in Ronkonkoma, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Low Vision Rehabilitation cover?
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.
How do I contact Kristin Protosow, OPTOMETRIST, OD?
The phone number on file with NPPES is (631) 588-5100, last updated Nov 18, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristin Protosow, OPTOMETRIST, OD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063688547 a valid number?
Yes. 1063688547 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.