Heather Alicia Monge

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008722 Issued in NY

Practice address

100 Holland Circle Dr
Amsterdam, NY 12010-7551

Phone

(518) 842-3800

Fax

(518) 842-3900

NPI assigned

Jan 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kwiat Eye and Laser Surgery PLLCGroup PAC ID 4789722810, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kwiat Eye and Laser Surgery PLLC

  • Ophthalmology Physician
  • Amsterdam, NY
  • NPI 1275763468
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1336657907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107551",
            "telephone_number": "518-842-3800",
            "fax_number": "518-842-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107551",
            "telephone_number": "518-842-3800",
            "fax_number": "518-842-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGE",
        "first_name": "HEATHER",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohawk Valley Medical Anesthesiology Associates, PLLC
• Mohawk Valley Multispecialty Medical Group PLLC
• Mohawk Valley Orthopedics, P.C.
• Mohawk Valley Physical Medicine and Rehab
• Robin H Moller, RN
• Montefiore Medical Center
• Montgomery County Arc
• Montgomery County Arc
• Montgomery County Arc
• Montgomery County Office for Aging, Inc.

• Optometrist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.