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DR. KAREN SHARON CUMMINGS O.D
NPI 1730103631
Optometrist in Brooklyn, NY

Active since July 26, 2006PECOS Enrolled
1416 ROCKAWAY PKWY, BROOKLYN, NY 11236(718) 257-2339(718) 272-7171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karen Sharon Cummings O.d NPPES

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

DR. KAREN SHARON CUMMINGS O.D (NPI 1730103631) is an individual optometrist in Brooklyn, New York, licensed in New York (T006080) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730103631
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KAREN SHARON CUMMINGSCredential: O.D
Location Address1416 ROCKAWAY PKWYBrooklyn, NY 11236-2322
Mailing Address751 E 89th St, 10Brooklyn, NY 11236-3634 · (718) 272-6541 · Fax (718) 272-6541
Phone(718) 257-2339
Fax(718) 272-7171
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730103631 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 · T006080
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.
1416 ROCKAWAY PKWY, Brooklyn, NY 11236
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Other Identifiers 1

Medicaid02188943NY

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 (PECOS)

Dr. Karen Sharon Cummings O.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11236 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

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

AHFK OPTICAL INC.
Optometrist
1416 ROCKAWAY PKWY
BROOKLYN, NY 11236
Kings County (718) 257-2339

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 Karen Cummings's NPI number?

The NPI number for Karen Cummings is 1730103631. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Karen Cummings located?

Karen Cummings practices at 1416 Rockaway Pkwy, Brooklyn, NY 11236. The listed phone number is (718) 257-2339.

What is Karen Cummings's specialty?

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

Is Karen Cummings enrolled in Medicare?

Yes. Karen Cummings is registered in the Medicare PECOS enrollment system.

What insurance does Karen Cummings 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 list Karen Cummings 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 Karen Cummings 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.