Individual provider Active NPI

Sunah Kim Alexander, OD

  • Optometrist
  • Latham, NY
National Provider Identifier
1316995251
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000000005848 Issued in NY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10029632OtherNYCDPHP
371959OtherNYMVP
C395EOtherNYBLUE CROSS/BLUE SHIELD
000406323002OtherNYBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000392 NY Practitioner - Optometry 3971541400 Reassigns benefits to 1 organization

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
Robert E Brass MD PLLCGroup PAC ID 5294773347, 5 clinicians

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 100Reported as group
Quality
98.03
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000000005848NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Brass,M.D.,PLLC CurrentSince Oct 28, 2004 Accepting new patients
Dinapoli & Dinapoli, Inc. PastSince Apr 14, 2014 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.

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

Sources for this page

Verify at the official NPI Registry.