Individual provider Active NPI

Kelly H. Thomann, O.D.

  • Optometrist
  • Montrose, NY
National Provider Identifier
1083664916
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT5035 Issued in NY
Practice address
Albany Post Road
VA Hudson Valley Healthcare System
Montrose, NY 10548
Phone
(914) 737-4400
Fax
(914) 788-4373
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT5035 NY Primary
Optometrist 152W00000X 2324 TN

Addresses

Primary practice location

Albany Post Road
VA Hudson Valley Healthcare System
Montrose, NY 10548

Mailing address

2 Ackerman CT
Croton on Hudson, NY 10520-2027
Phone (914) 760-6871

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
I20110504000154 NY Order and Referring Only - OptometryPractitioner - Optometry 6305021502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005035NYMDMental Health Counselor
VUT5035NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083664916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACKERMAN CT",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202027",
            "telephone_number": "914-760-6871",
            "fax_number": "914-788-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALBANY POST ROAD",
            "address_2": "VA HUDSON VALLEY HEALTHCARE SYSTEM",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMANN",
        "first_name": "KELLY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT5035",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.