Active NPI
Michelle Cecilia Sturckler, OD
- Optometrist
- Vestal, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009779
- Practice address
- 3455 Vestal Pkwy E
Vestal, NY 13850-2147 - Phone
- (607) 722-2020
- Fax
- (607) 722-3937
- NPI assigned
- Jun 26, 2023
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 009779 | NY | Primary |
Addresses
Primary practice location
3455 Vestal Pkwy E
Vestal, NY 13850-2147
Mailing address
37 Beechknoll Rd
Binghamton, NY 13903-3608
Phone (607) 743-1965
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3455 Vestal Pkwy E
Vestal, NY 13850-2147
Phone (607) 722-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009779 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Optometry Professional PLLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
1290 Upper Front St
Binghamton, NY 13901
Phone (607) 722-3417
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
75 Main St
Sidney, NY 13838
Phone (607) 563-2442
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Sidney, NY
- NPI 1598470544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1043996994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BEECHKNOLL RD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139033608",
"telephone_number": "607-743-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502147",
"telephone_number": "607-722-2020",
"fax_number": "607-722-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURCKLER",
"first_name": "MICHELLE",
"middle_name": "CECILIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.