Michelle A Harrison, O.D.
Individual provider Active NPI Optometrist · Somers, NY
NPI 1295983476 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1295983476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 007356 (NY)
- Practice address
- 380 Route 202
Somers, NY 10589-3222 - Phone
- (914) 277-5550
- NPI assigned
- Aug 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
-
Ami C Ranani, O.D.
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 200 West Optics LLC
Practice addresses (Care Compare)
380 Route 202
Somers, NY 10589-3222
Phone (914) 277-5550
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081219000244 | NY | Practitioner - Optometry | 6709948052 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007356 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current | Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| Eye Q Optometrist PC | Optometrist | Past |
Accepting new patients |
Locations
380 Route 202
Somers, NY 10589
Phone (914) 276-3030
1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007356 | NY | Yes |
Addresses
Primary practice location
380 Route 202
Somers, NY 10589-3222
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other providers in Somers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.