East Fishkill Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAST FISHKILL EYE CARE LLC

Practice address

857 Route 82
Hopewell Junction, NY 12533

Phone

(845) 227-2233

Fax

(845) 227-4186

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Powell, ODNPI 1033179361

Title

Member

Phone

(845) 896-2427

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Bean Powell, OD

  • Optometrist
  • New Windsor, NY
  • NPI 1033179361
  Medicare reassignment Care Compare group NPD Authorized official
• Serena Shin, O.D.

  • Optometrist
  • Mahopac, NY
  • NPI 1669489035
  Medicare reassignment Care Compare group NPD
• Deborah Chava Roodner, O.D.

  • Optometrist
  • Hopewell Junction, NY
  • NPI 1366438350
  NPD
• Vicki L Chenarides, O.D.

  • Optometrist
  • Hopewell JCT, NY
  • NPI 1215901947
  NPD (past)
• Brian Powell, O.D.

  • Optometrist
  • Fishkill, NY
  • NPI 1245274620
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1265045611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOOSE BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243400",
            "telephone_number": "845-896-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 ROUTE 82",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-227-2233",
            "fax_number": "845-227-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FISHKILL EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-896-2427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.eastfishkilleye.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "make appointments",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "appointment information",
            "address_1": "857 Route 82",
            "city": "Hopewell Junction",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon R Dooley Russo, RN
• Justin D Douglas, MSN, FNP, CNS, APRN
• Dream Team Home & Comm Services LLC
• Dream Team Home & Comm Services LLC
• East Fishkill Eye Associates Optometrists, P.C.
• Eckerd Corporation (Rite Aid Pharmacy 10706)
• Edward J. Prus, DDS, PC
• Lauren Edwards
• Emily Rose Ennabi, DDS
• Kathleen Ennabi, MD

• Optometrist in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.