Active NPI
Ellen Wendy Cutler, O.D.
- Optometrist
- New Rochelle, NY
National Provider Identifier
1437304995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004768
- Practice address
- 1A Quaker Ridge Rd
New Rochelle, NY 10804-2807 - Phone
- (914) 602-0114
- Fax
- (914) 602-0115
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004768 | NY | Primary |
Addresses
Primary practice location
1A Quaker Ridge Rd
New Rochelle, NY 10804-2807
Mailing address
164 Stone Oaks Dr
Hartsdale, NY 10530-1161
Phone (914) 725-7379
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001190 | NY | Practitioner - Optometry | 3072706290 | Practice locations: New Rochelle, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 A Quaker Ridge Rd
New Rochelle, NY 10804-2807
Phone (914) 602-0114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004768 | NY | MD | Optometrist |
| 004768 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1437304995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 STONE OAKS DR",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301161",
"telephone_number": "914-725-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1A QUAKER RIDGE RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042807",
"telephone_number": "914-602-0114",
"fax_number": "914-602-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "ELLEN",
"middle_name": "WENDY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.