Individual provider Active NPI

Christine Lisa Szewczyk-Fitzpatrick, O.D.

  • Optometrist
  • Monroe, NY
National Provider Identifier
1467536714
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00544300 Issued in NJ
Practice address
785 State Route 17M
Monroe, NY 10950-2623
Phone
(845) 783-4400
Fax
(845) 782-4041
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00544300 NJ Primary

Addresses

Primary practice location

785 State Route 17M
Monroe, NY 10950-2623

Mailing address

785 State Route 17M
Monroe, NY 10950-2623
Phone (845) 783-4400

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
I20200114000638 NY Practitioner - Optometry 7517392962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

785 Route 17M
Monroe, NY 10950-2623

785 State Route 17M
Monroe, NY 10950-2623
Phone (845) 783-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00544300NJMDOptometrist
006349NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyexam Group P a Optometrist PastSince Jan 7, 1991 Accepting new patients

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1467536714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502623",
            "telephone_number": "845-783-4400",
            "fax_number": "845-782-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502623",
            "telephone_number": "845-783-4400",
            "fax_number": "845-782-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZEWCZYK-FITZPATRICK",
        "first_name": "CHRISTINE",
        "middle_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00544300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.