SOUTH FORK OPTICAL CENTER, INC.
NPI 1891982476
Eyewear Supplier in Hampton Bays, NY

Active since September 27, 2007
1 JACKSON AVE SOUTH, HAMPTON BAYS, NY 11946(631) 728-1525(631) 728-1534 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Fork Optical Center, Inc. NPPES

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

SOUTH FORK OPTICAL CENTER, INC. (NPI 1891982476) is a healthcare organization registered as an eyewear supplier in Hampton Bays, New York and active in the NPI registry since September 2007. The organization lists Alex Tschubarjan, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1891982476
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSOUTH FORK OPTICAL CENTER, INC.
Location Address1 JACKSON AVE SOUTHHampton Bays, NY 11946-2018
Mailing Address1 Jackson AveHampton Bays, NY 11946-2018 · (631) 728-1525 · Fax (631) 728-1534
Fax(631) 728-1534
Organization SubpartNo
Authorized OfficialAlex TschubarjanDoctor/owner · (631) 728-1525
Enumeration DateSeptember 27, 2007
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1891982476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NY · 4065
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1 JACKSON AVE SOUTH, Hampton Bays, NY 11946

Other Identifiers 1

Medicare NSC4024020001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Fork Optical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Fork Optical Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1043351968
1 JACKSON AVE SOUTH
Hampton Bays, NY 11946
(631) 728-1525
✔ PECOS✔ Accepts MedicareSame address

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

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 South Fork Optical Center, Inc.'s NPI number?

The NPI number for South Fork Optical Center, Inc. is 1891982476. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is South Fork Optical Center, Inc. located?

South Fork Optical Center, Inc. is located at 1 Jackson Ave South, Hampton Bays, NY 11946. The listed phone number is (631) 728-1525.

What is South Fork Optical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is South Fork Optical Center, Inc. enrolled in Medicare?

Yes. South Fork Optical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Fork Optical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to South Fork Optical Center, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Fork Optical Center, Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list South Fork Optical Center, Inc. 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 South Fork Optical Center, Inc. was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.