Individual provider Active NPI

Andrea Nicole McKerrell, OD

  • Optometrist
  • Dingmans Ferry, PA
National Provider Identifier
1164046918
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003957 Issued in PA
Practice address
1409 Route 739
Dingmans Ferry, PA 18328-3478
Phone
(570) 686-1102
NPI assigned
Jun 7, 2020
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 OEG003957 PA Primary
Optometrist 152W00000X TUV009311 NY

Addresses

Primary practice location

1409 Route 739
Dingmans Ferry, PA 18328-3478

Mailing address

3319 Lake Ariel Hwy
Honesdale, PA 18431-1174
Phone (570) 253-6551

Other practice location 1

3319 Lake Ariel Hwy
Honesdale, PA 18431-1174
Phone (570) 253-6551

Other practice location 2

1315 Lake Ariel Hwy
Lake Ariel, PA 18436-9438
Phone (570) 698-4140

Other practice location 3

30 N Church St
Carbondale, PA 18407-1905
Phone (570) 282-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221025002084 PA Practitioner - Optometry 2769858240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care of Nepa PCGroup PAC ID 6406810332, 7 clinicians

Practice addresses (Care Compare)

1409 Route 739
Dingmans Ferry, PA 18328-3478
Phone (570) 253-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009311NYMDOptometrist
OEG003957PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Nepa PC Optometrist CurrentSince Oct 17, 2022 Accepting new patients
Family First Vision Center, Inc Optometrist PastSince Oct 28, 2009 Accepting new patients

Locations

30 N Church St
Carbondale, PA 18407
Phone (570) 282-4080

1409 Route 739
Dingmans Fry, PA 18328
Phone (570) 253-6551

3319 Lake Ariel Hwy
Honesdale, PA 18431
Phone (570) 253-6551

1315A Lake Ariel Hwy
Lake Ariel, PA 18436
Phone (570) 253-6551

Organizations & group practices 2

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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1164046918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311174",
            "telephone_number": "570-253-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ROUTE 739",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183283478",
            "telephone_number": "570-686-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 Lake Ariel Hwy",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311174",
            "country_code": "US",
            "telephone_number": "570-253-6551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Lake Ariel Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Ariel",
            "state": "PA",
            "postal_code": "184369438",
            "country_code": "US",
            "telephone_number": "570-698-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N Church St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "PA",
            "postal_code": "184071905",
            "country_code": "US",
            "telephone_number": "570-282-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKERRELL",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003957",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

Verify at the official NPI Registry.