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JEFFREY DAVID STARK OD
NPI 1295809937
Optometrist in New York, NY

Active since November 17, 2006PECOS Enrolled
2472 BROADWAY, NEW YORK, NY 10025(212) 362-8090(212) 875-1488 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey David Stark Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY DAVID STARK OD (NPI 1295809937) is an individual optometrist in New York, New York, licensed in New York (TUV005062) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295809937
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY DAVID STARKCredential: OD
Location Address2472 BROADWAYNew York, NY 10025-7449
Mailing Address15 Mohegan PlNew Rochelle, NY 10804-1304 · (914) 654-4967 · Fax (914) 654-4968
Phone(212) 362-8090
Fax(212) 875-1488
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295809937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV005062
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2472 BROADWAY, New York, NY 10025
Open in Google Maps ↗

Other Identifiers 1

Medicaid02324927NY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey David Stark Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jeffrey Cooper Od PC
1.9 mi
Corneal and Contact Management
539 PARK AVENUE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1558419044 (212) 758-0772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 3

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

STUART BLANKMAN OPTOMETRIST PC
Optometrist
2472 BROADWAY
NEW YORK, NY 10025
New York County (212) 362-8090
PROF. MELVIN R GILBERT MD, MBA
Psychiatry & Neurology (Psychiatry)
2472 BROADWAY, # 156
NEW YORK, NY 10025
New York County (917) 921-0865
STUART H BLANKMAN O.D.
Optometrist
2472 BROADWAY
NEW YORK, NY 10025
New York County (212) 362-8090

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 Jeffrey Stark's NPI number?

The NPI number for Jeffrey Stark is 1295809937. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Jeffrey Stark located?

Jeffrey Stark practices at 2472 Broadway, New York, NY 10025. The listed phone number is (212) 362-8090.

What is Jeffrey Stark's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jeffrey Stark enrolled in Medicare?

Yes. Jeffrey Stark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Stark reassigns Medicare benefits to Jeffrey Cooper Od PC (New York, 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 Jeffrey Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Stark 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 9 other insurers list Jeffrey Stark 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 Jeffrey Stark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.