Kristy May Dean, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007594 Issued in NY

Practice address

1284 Dryden Rd
Ithaca, NY 14850-8795

Phone

(607) 257-1066

Fax

(607) 257-1378

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sirgany Eyecare LLC

  • Optometrist
  • Cortland, NY
  • NPI 1295081149
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1003128935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-257-1066",
            "fax_number": "607-257-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-257-1066",
            "fax_number": "607-257-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KRISTY",
        "middle_name": "MAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56007594",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Sabior Dawuda, M.D
• Day Care & Child Development Council of Tompkins County, Inc.
• Andreia Pereira De Lima, MD
• Honora Clare De Mott Grady, PT, DPT
• Kenneth Leon Dean Jr., D.O.
• Rebecca Lynn Debell, LCSW-R
• Stephanie S Debuck, M.D.
• Francesca Irene Decker, M.D.
• Joseph William Decker Jr., RPH.
• Paula J Decker, PHARMCIST

• Optometrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.