Individual provider Active NPI

Andrew Sherman, OD

  • Optometrist
  • Merrick, NY
National Provider Identifier
1467977926
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008644-1 Issued in NY
Practice address
227 Merrick Ave
Merrick, NY 11566-3125
Phone
(516) 868-2266
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008644-1 NY Primary

Addresses

Primary practice location

227 Merrick Ave
Merrick, NY 11566-3125

Mailing address

227 Merrick Ave
Merrick, NY 11566-3125

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
I20171107003043 NY Practitioner - Optometry 3173889169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008644-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sangha Optical Inc. CurrentSince Sep 30, 2017 Accepting new patients
Andrew Sherman O.D. P.C. Current Accepting new patients

Locations

12714 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 845-6888

Interoperability endpoints

  • Direct secure messaging: andrew.sherman.p1@direct.ezramedical.nextgenshare.com

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1467977926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663125",
            "telephone_number": "516-868-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008644-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.