Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin Ann Protosow, OPTOMETRIST, OD

Individual provider Low Vision Rehabilitation Optometrist · NPI 1063688547

Kristin Ann Protosow, OPTOMETRIST, OD is an Optometry in Ronkonkoma, New York. Graduated from New England College of Optometry in 2007, 19 years ago. Practices with Eye Vision Associates LLP, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
New England College of Optometry
Licensed in
NY
In the registry since
2008
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

624 Hawkins Ave Ste 1
Ronkonkoma, NY 11779-2375
Phone: (631) 588-5100
Fax: (631) 588-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Low Vision Rehabilitation Optometrist (primary) Taxonomy 152WL0500X · Licence TUV007254-1 (NY)

Record details

NPI number1063688547
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTOMETRIST , OD
Sole proprietorYes
NPI enumeratedMay 5, 2008
Last updated in NPPESNovember 18, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2007 (19 years in practice)
Group practice Eye Vision Associates Llp — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount