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KRISTIN ANN PROTOSOW OPTOMETRIST, OD
NPI 1063688547
Optometrist - Low Vision Rehabilitation in Ronkonkoma, NY

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
624 HAWKINS AVE, SUITE 1, RONKONKOMA, NY 11779(631) 588-5100(631) 588-5185 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 Ronkonkoma, New York, licensed in New York (TUV007254-1) 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

NPI1063688547
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameKRISTIN ANN PROTOSOWCredential: OPTOMETRIST, OD
Location Address624 HAWKINS AVE, SUITE 1Ronkonkoma, NY 11779-2375
Mailing Address624 Hawkins Ave., Suite 1Ronkonkoma, NY 11779 · (631) 588-5100 · Fax (631) 588-5185
Phone(631) 588-5100
Fax(631) 588-5185
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2007
Enumeration DateMay 5, 2008
Last NPPES UpdateNovember 18, 2011
✔ NPI 1063688547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License✔ Licensed in NY · TUV007254-1
Definition
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.
624 HAWKINS AVE, Ronkonkoma, NY 11779
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2163593757
PECOS Enrollment IDI20080625000727
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
130 services123 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
113 services79 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
101 services97 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
61 services58 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
33 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE RUHROLD
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
ELENA LUGO
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
KAILA C BARDOO M.S., CCC-SLP, TSSLD
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
ALYSSANDRA MICHELLE O'CONNELL MS
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
CAROLINA CHAER
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
SOPHIA WEISSMAN
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
MISS KRISTIN JOHANNA SCHOENHOFEN M.S., CCC-SLP, TSSLD
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (163) 124-0357
ANASTASIA EILEEN PACCIONE
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579

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 624 Hawkins Ave Suite 1, Ronkonkoma, NY 11779. 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.

What insurance does Kristin Protosow accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer 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 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.