Eleanor Siri, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2601 Issued in MD

Practice address

724 Cambridge PLZ
Cambridge, MD 21613-2531

Phone

(443) 225-5377

Fax

(833) 940-2191

NPI assigned

Sep 4, 2012

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Siri Premier Eyecare

  • Optometrist
  • Cambridge, MD
  • NPI 1750987244
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1326397555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CAMBRIDGE PLZ",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132531",
            "telephone_number": "443-225-5377",
            "fax_number": "833-940-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CAMBRIDGE PLZ",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132531",
            "telephone_number": "443-225-5377",
            "fax_number": "833-940-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRI",
        "first_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sightrite Medical MD LLC
• Lori Jean Simmerson, PT
• Amy Elizabeth Simmons, ATC, LAT
• Wendy Hare Simpson, LCSW-C
• Siri Premier Eyecare
• Taylor Smith, LCSW-C
• Surinderpal Sodhi, M.D.
• Jacqueline Sorrells, LGPC
• Kassidy Jan Spencer
• Ekaterina Spirina, DDS

• Optometrist in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.