Individual provider Active NPI

Sherry Prevade, O.D.

  • Optometrist
  • MC Murray, PA
National Provider Identifier
1306804430
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-001015 Issued in PA
Practice address
609 E McMurray Rd
MC Murray, PA 15317-3419
Phone
(724) 941-3930
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-001015 PA Primary

Addresses

Primary practice location

609 E McMurray Rd
MC Murray, PA 15317-3419

Mailing address

609 E McMurray Rd
MC Murray, PA 15317-3419
Phone (724) 941-3930

Other identifiers 1

IdentifierTypeStateIssuer
0018518590004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050518001063 PA Practitioner - Optometry 3870534928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Gallery Inc.Group PAC ID 6608813381, 4 clinicians

Practice addresses (Care Compare)

609 E McMurray Rd
MC Murray, PA 15317-3419
Phone (724) 941-3930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-001015PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsbugh Eye Care Associates Optometrist Past Accepting new patients
Huet Eye Associates PC Optometrist Past Accepting new patients

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1306804430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173419",
            "telephone_number": "724-941-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173419",
            "telephone_number": "724-941-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVADE",
        "first_name": "SHERRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018518590004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.