Individual provider Active NPI

Mary Rita Sheehy, O.D.

  • Optometrist
  • Wappingers Falls, NY
National Provider Identifier
1124007307
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004470-1 Issued in NY
Practice address
187 New Hackensack Rd
Wappingers Falls, NY 12590-1722
Phone
(845) 297-4444
Fax
(845) 297-7442
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004470-1 NY Primary

Addresses

Primary practice location

187 New Hackensack Rd
Wappingers Falls, NY 12590-1722

Mailing address

187 New Hackensack Rd
Wappingers Falls, NY 12590-1722
Phone (845) 297-4444

Other identifiers 6

IdentifierTypeStateIssuer
111019OtherNYEYE MED
C36411OtherNYEMPIRE BC/BS
P767683OtherNYOXFORD
901013OtherNYBLOCK VISION
318OtherNYDAVIS/CSEA
597132OtherNYMVP

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
I20120103000280 NY Practitioner - Optometry 2365655339 Practice locations: Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 New Hackensack Rd
Wappingers Falls, NY 12590-1726
Phone (845) 297-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004470-1NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1124007307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 NEW HACKENSACK RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901722",
            "telephone_number": "845-297-4444",
            "fax_number": "845-297-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 NEW HACKENSACK RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901722",
            "telephone_number": "845-297-4444",
            "fax_number": "845-297-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "MARY",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004470-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "111019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE  BC/BS",
            "identifier": "C36411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P767683",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "901013",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS/CSEA",
            "identifier": "318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "597132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.