Individual provider Active NPI

Eleni Sehremelis, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1073286852
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009426 Issued in NY
Practice address
185 Madison Ave FL 2
New York, NY 10016-0069
Phone
(212) 689-7676
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009426 NY Primary

Addresses

Primary practice location

185 Madison Ave FL 2
New York, NY 10016-0069

Mailing address

11376 Baskerville Rd
Los Alamitos, CA 90720-2928
Phone (562) 881-6612

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902002477 NY Practitioner - Optometry 1850797606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

539 Park Ave
New York, NY 10065-8167
Phone (212) 758-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009426NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island CurrentSince Dec 1, 2021 Accepting new patients
Jeffrey Cooper OD PC CurrentSince Oct 2, 2023 Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Current Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Oct 2, 2023 Accepting new patients

Locations

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

200 Motor Pkwy
Ste D25
Hauppauge, NY 11788
Phone (631) 952-8000

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1073286852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11376 BASKERVILLE RD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202928",
            "telephone_number": "562-881-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MADISON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160069",
            "telephone_number": "212-689-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHREMELIS",
        "first_name": "ELENI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.