Individual provider Active NPI

Vicki L Chenarides, O.D.

  • Optometrist
  • Hopewell JCT, NY
National Provider Identifier
1215901947
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004725 Issued in NY
Practice address
857 Route 82
Hopewell JCT, NY 12533-0209
Phone
(845) 227-2233
NPI assigned
Feb 17, 2006
Last updated
May 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004725 NY Primary

Addresses

Primary practice location

857 Route 82
Hopewell JCT, NY 12533-0209

Mailing address

PO Box 459
Hopewell JCT, NY 12533-0459
Phone (845) 227-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210201001591 SC Practitioner - Optometry 6103802962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Vision of South Carolina LLCGroup PAC ID 1951609155, 9 clinicians

Practice addresses (Care Compare)

717 Trolley Rd
Summerville, SC 29485-5287
Phone (502) 244-2420

Merit-based Incentive Payment System (MIPS)

Final score
97.07 of 100Reported as group
Quality
76.49
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004725NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vision of South Carolina, LLC Optometrist CurrentSince Jan 8, 2021 Accepting new patients
East Fishkill Eye Care LLC Optometrist PastSince Aug 30, 2020 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1703 Laurel St
Columbia, SC 29201
Phone 24852821166

717 Trolley Rd
Summerville, SC 29485

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1215901947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125330459",
            "telephone_number": "845-227-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 ROUTE 82",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125330209",
            "telephone_number": "845-227-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENARIDES",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell JCT, NY

Sources for this page

Verify at the official NPI Registry.