Active NPI
Alyssa Keller, OD
- Optometrist
- New York, NY
National Provider Identifier
1083596084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 011226
- Practice address
- 950 3Rd Ave FL 3
New York, NY 10022-2793 - Phone
- (212) 861-9797
- NPI assigned
- Jul 22, 2025
- 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 | 011226 | NY | Primary |
Addresses
Primary practice location
950 3Rd Ave FL 3
New York, NY 10022-2793
Mailing address
15 Broad St Apt 828
New York, NY 10005-1963
Phone (479) 899-1358
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
- State University of New York - State College Optometry, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Lafayette St
RM 502
New York, NY 10013-4116
Phone (646) 417-5971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011226 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreous Retina Macula Consultants of New York | Current | Accepting new patients |
Locations
902 Quentin Rd
#601
Brooklyn, NY 11223
Phone (718) 376-3223
110 Lafayette St
Rm 502
New York, NY 10013
Phone (212) 861-9797
950 3rd Ave
Fl 3
New York, NY 10022
Phone (212) 861-9797
Interoperability endpoints
- akeller@vrmny.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1598700791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1083596084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BROAD ST APT 828",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100051963",
"telephone_number": "479-899-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 3RD AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222793",
"telephone_number": "212-861-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ALYSSA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "011226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.