Individual provider Active NPI

Sarika Mehta, O.D.

  • Optometrist
  • Jamaica, NY
National Provider Identifier
1417070889
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007062 Issued in NY
Practice address
16405 Hillside Ave FL 2
Jamaica, NY 11432-4140
Phone
(718) 206-2893
Fax
(718) 206-2895
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007062 NY Primary

Addresses

Primary practice location

16405 Hillside Ave FL 2
Jamaica, NY 11432-4140

Mailing address

16405 Hillside Ave FL 2
Jamaica, NY 11432-4140
Phone (718) 206-2893

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
I20121005000374 NY Practitioner - Optometry 7315196342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Optometry and Ophthalmic Dispensing PLLCGroup PAC ID 0143542019, 3 clinicians

Practice addresses (Care Compare)

400 W 42ND St
New York, NY 10036-6814
Phone (212) 869-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007062NYMDOptometrist
007062NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Bronx Optical Inc. Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Manhattan Optometry and Ophthalmic Dispensing PLLC Optometrist CurrentSince Aug 25, 2019 Accepting new patients

Locations

961 E 174th St
Bronx, NY 10460
Phone (347) 498-1478

400 W 42nd St
New York, NY 10036
Phone (212) 430-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1417070889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-206-2893",
            "fax_number": "718-206-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-206-2893",
            "fax_number": "718-206-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SARIKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.