Individual provider Active NPI

Elsa Caroline Sheerer, OD

  • Pediatric Optometrist
  • New York, NY
National Provider Identifier
1205218187
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
TUV008298 Issued in NY
Practice address
33 W 42ND St
New York, NY 10036-8005
Phone
(212) 938-5946
Fax
(212) 938-5831
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6411 OH
Pediatric Optometrist 152WP0200X TUV008298 NY Primary

Addresses

Primary practice location

33 W 42ND St
New York, NY 10036-8005

Mailing address

33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-5946

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
I20151002001775 NY Practitioner - Optometry 9032427554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Viola Kanevsky OD PLLCGroup PAC ID 6709988439, 2 clinicians

Practice addresses (Care Compare)

65 Central Park W
Apt 1C
New York, NY 10023-6008
Phone (212) 580-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6411OHMDOptometrist
TUV008298NYMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Viola Kanevsky, O.D., P.L.L.C. Optometrist CurrentSince Sep 4, 2022 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jun 11, 2015 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 11, 2015 Accepting new patients

Locations

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

65 Central Park W
Apt 1C
New York, NY 10023
Phone (212) 246-8772

University Eye Ctr
New York, NY 10087

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1205218187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-5946",
            "fax_number": "212-938-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-5946",
            "fax_number": "212-938-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERER",
        "first_name": "ELSA",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6411",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV008298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.