Individual provider Active NPI

Katelyn Rogerson, O.D.

  • Optometrist
  • Dobbs Ferry, NY
National Provider Identifier
1275866014
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007494 Issued in NY
Practice address
66 Main St Ste B
Dobbs Ferry, NY 10522-2161
Phone
(914) 461-0800
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007494 NY Primary

Addresses

Primary practice location

66 Main St Ste B
Dobbs Ferry, NY 10522-2161

Mailing address

66 Main St Ste B
Dobbs Ferry, NY 10522-2161
Phone (914) 461-0800

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
I20200925001482 NY Practitioner - Optometry 5395994545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Eyes on Hudson Optometry LLCGroup PAC ID 1658790530, 2 clinicians

Practice addresses (Care Compare)

66 Main St
Suite B
Dobbs Ferry, NY 10522-2161
Phone (914) 461-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Hudson Optometry LLC Optometrist CurrentSince Aug 15, 2020 Accepting new patients
Park Slope Eye, Optometric PLLC Optometrist PastSince Jun 26, 2011 Accepting new patients
Harvey Moscot , O.D. P.C. Optometrist Past Accepting new patients

Locations

66 Main St
Ste B
Dobbs Ferry, NY 10522
Phone (914) 250-9330

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1275866014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST STE B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222161",
            "telephone_number": "914-461-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST STE B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222161",
            "telephone_number": "914-461-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERSON",
        "first_name": "KATELYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.