KRISTIN ANN PROTOSOW OPTOMETRIST, OD
NPI 1063688547
Optometrist - Low Vision Rehabilitation in Nesconset, NY
About Kristin Ann Protosow Optometrist, Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN ANN PROTOSOW OPTOMETRIST, OD (NPI 1063688547) is an individual low vision rehabilitation provider in Nesconset, New York, licensed in New York (ORT007254-01) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristin Ann Protosow Optometrist, Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristin Protosow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nesconset, NY 11767
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristin Protosow's NPI number?
The NPI number for Kristin Protosow is 1063688547. It was assigned to this individual provider in the NPPES registry on May 5, 2008.
Where is Kristin Protosow located?
Kristin Protosow practices at 271 Smithtown Blvd, Nesconset, NY 11767. The listed phone number is (631) 588-5100.
What is Kristin Protosow's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.
Is Kristin Protosow enrolled in Medicare?
Yes. Kristin Protosow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristin Protosow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Protosow reassigns Medicare benefits to Eye Vision Associates, LLP (Nesconset, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Protosow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Protosow accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Kristin Protosow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristin Protosow was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristin Ann Protosow, OPTOMETRIST, OD · NPI 1063688547
Low Vision Rehabilitation provider in Nesconset, New York. Individual provider, active in the CMS NPPES registry since May 5, 2008.
## Identity
- **NPI:** 1063688547 (Entity type: Individual)
- **Enumerated:** May 5, 2008
- **Primary specialty:** Optometrist - Low Vision Rehabilitation · taxonomy 152WL0500X
- **State license:** ORT007254-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 271 SMITHTOWN BLVD, Nesconset, NY 11767-2041
- **Phone:** (631) 588-5100 · **Fax:** (631) 588-5185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eye Vision Associates, LLP (NPI 1982604732, Nesconset, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2007
## Record status
- **NPPES last updated:** November 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063688547) · Data from the CMS NPPES public registry.