Active NPI
Sunah Kim Alexander, OD
- Optometrist
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000000005848
- Practice address
- 713 Troy Schenectady Rd
Suite 135
Latham, NY 12110-2490 - Phone
- (518) 782-7827
- Fax
- (518) 782-7820
- NPI assigned
- May 4, 2006
- Last updated
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000000005848 | NY | Primary |
Addresses
Primary practice location
713 Troy Schenectady Rd
Suite 135
Latham, NY 12110-2490
Mailing address
1783 US-9
Suite 106
Clifton Park, NY 12065
Phone (518) 782-7827
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10029632 | Other | NY | CDPHP |
| 371959 | Other | NY | MVP |
| C395E | Other | NY | BLUE CROSS/BLUE SHIELD |
| 000406323002 | Other | NY | BLUE SHIELD NENY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1783 Route 9
Suite 106
Clifton Park, NY 12065-2465
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 98.03
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000005848 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E. Brass,M.D.,PLLC | Current | Accepting new patients | |
| Dinapoli & Dinapoli, Inc. | Past | Accepting new patients | |
| Optical Shop of Clifton Park LLC | Past | Accepting new patients | |
| The Optical Shop of Latham, LLC | Past | Accepting new patients |
Locations
1783 Route 9
Ste 106
Halfmoon, NY 12065
Phone (518) 348-2062
713 Troy Schenectady Rd
Ste 135
Latham, NY 12110
Phone (518) 782-7827
Organizations & group practices 4
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.
-
- Eyewear Supplier
- Delmar, NY
- NPI 1265509442
-
- Optician
- Clifton Park, NY
- NPI 1851844500
-
- Optician
- Latham, NY
- NPI 1972530228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1316995251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1783 US-9",
"address_2": "SUITE 106",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-782-7827",
"fax_number": "518-782-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 TROY SCHENECTADY RD",
"address_2": "SUITE 135",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102490",
"telephone_number": "518-782-7827",
"fax_number": "518-782-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SUNAH",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2023-08-28",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "000000005848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10029632",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "371959",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "C395E",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "000406323002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
- Albany Health Management Associates, Inc.
- Albany Medical College
- Albany Medical College (Albany Medical College Womens Wellness Center)
- Albany Regional Eye Surgery Center, LLC
- Elizabeth B Aldi, RPH
- Lubbna V Alimohammad, MD
- Tessa Marie Allen, PHARMD.
- Allison Liss, Nurse Practitioner in Psychiatry, PLLC
- Cynthia Almy Federman, SLP
- Khalil Rafiq Alshaer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.