Active NPI
Della Sheryl Roberts-McKay, O.D.
- Optometrist
- Spring Valley, NY
National Provider Identifier
1023194164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- UVT005533
- Practice address
- 205 Route 59 Ste 4
Spring Valley, NY 10977-5236 - Phone
- (845) 371-6640
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | UVT005533 | NY | Primary |
Addresses
Primary practice location
205 Route 59 Ste 4
Spring Valley, NY 10977-5236
Mailing address
205 Route 59 Ste 4
Spring Valley, NY 10977-5236
Phone (845) 371-6640
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070524000738 | NY | Practitioner - Optometry | 7618074626 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UVT005533 | NY | MD | Optometrist |
| 005533 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023194164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ROUTE 59 STE 4",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775236",
"telephone_number": "845-371-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ROUTE 59 STE 4",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775236",
"telephone_number": "845-371-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-MCKAY",
"first_name": "DELLA",
"middle_name": "SHERYL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "UVT005533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.