Provider Demographics
NPI:1689192551
Name:SOUNDVIEW OPTOMETRY, PLLC
Entity Type:Organization
Organization Name:SOUNDVIEW OPTOMETRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-821-2244
Mailing Address - Street 1:45 ROUTE 25A STE F
Mailing Address - Street 2:
Mailing Address - City:SHOREHAM
Mailing Address - State:NY
Mailing Address - Zip Code:11786-1389
Mailing Address - Country:US
Mailing Address - Phone:631-821-2244
Mailing Address - Fax:631-821-4228
Practice Address - Street 1:45 ROUTE 25A STE F
Practice Address - Street 2:
Practice Address - City:SHOREHAM
Practice Address - State:NY
Practice Address - Zip Code:11786-1389
Practice Address - Country:US
Practice Address - Phone:631-821-2244
Practice Address - Fax:631-821-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004145152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
150372POtherHIP
493015OtherAETNA
NY8871056Medicaid
C31421OtherBLUE CROSS/ BLUE SHIELD
4195280OtherCIGNA
P674682OtherOXFORD