Individual provider Active NPI

Elaine Kelsey Doxtader, OD

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1356028914
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT009820-01 Issued in NY
Practice address
206 Lake Ave
Saratoga Springs, NY 12866-2627
Phone
(518) 584-2620
Fax
(518) 584-3979
NPI assigned
Jul 5, 2023
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ORT009820-01 NY Primary

Addresses

Primary practice location

206 Lake Ave
Saratoga Springs, NY 12866-2627

Mailing address

206 Lake Ave
Saratoga Springs, NY 12866-2627
Phone (518) 584-2620

Other practice location 1

11 Church St
Gloversville, NY 12078-3049
Phone (518) 725-5416

Other practice location 2

15 W Main St
Cambridge, NY 12816-1168
Phone (518) 677-5422

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
I20230818002222 NY Practitioner - Optometry 2769844984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evil Eye Optometry PCGroup PAC ID 5597114272, 3 clinicians

Practice addresses (Care Compare)

243 Main St
Suite 120
New Paltz, NY 12561-1355
Phone (845) 255-4696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Ophthalmology, PC CurrentSince Aug 8, 2023 Accepting new patients
Evil Eye Optometry P.C. Optometrist CurrentSince Oct 27, 2024 Accepting new patients
Scott I Morrison Optometry PC Optometrist CurrentSince Oct 27, 2024 Accepting new patients
Precision Dental PastSince Jul 9, 2023 Accepting new patients

Locations

1401 Route 52
Ste 200
Fishkill, NY 12524
Phone (845) 471-9600

222 Main St
New Paltz, NY 12561
Phone (845) 255-1567

243 Main St
Ste 120
New Paltz, NY 12561
Phone (845) 255-4696

207 Washington St
Ste 204
Poughkeepsie, NY 12601
Phone (845) 471-9600

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1356028914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662627",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662627",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Church St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120783049",
            "country_code": "US",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "NY",
            "postal_code": "128161168",
            "country_code": "US",
            "telephone_number": "518-677-5422",
            "fax_number": "518-677-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOXTADER",
        "first_name": "ELAINE",
        "middle_name": "KELSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT009820-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.