Lucy Cederholm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005884-1 Issued in NY

Practice address

420 Fulton St
Brooklyn, NY 11201-5214

Phone

(718) 802-7674

Fax

(718) 802-7591

NPI assigned

Jun 25, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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, 1996

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.

• Fordham Vision Center Ny LLC

  • Optometrist
  • Bronx, NY
  • NPI 1013523000
  Medicare reassignment NPD
• Nyc Opticians Inc.

  dba Cohens Fashion Optical

  • Optometrist
  • Brooklyn, NY
  • NPI 1588090773
  Medicare reassignment NPD
• LC Optical

  dba Macy's Vision Express

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1982977401
  NPD (past) Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437185873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015214",
            "telephone_number": "718-802-7674",
            "fax_number": "718-802-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015214",
            "telephone_number": "718-802-7674",
            "fax_number": "718-802-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDERHOLM",
        "first_name": "LUCY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005884-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Amy Cedarholm, NP
• Aleli Dagmare Cedeno
• Alison Cedeno
• Gissela Cedeno, M.A.
• Jill Ceder
• Cedric K. Olivera, MD, PLLC
• Alveah Enriquez Cedron
• Isatou Kaaba Ceesay, MD
• Jonathan Cefalo, DO
• Carrie Cegelis, L.AC. L.M.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.