Individual provider Active NPI

Sally Chetrit, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1477704872
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007367 Issued in NY
Practice address
586 President St Ste B
Brooklyn, NY 11215-1212
Phone
(718) 438-5600
Fax
(917) 386-2679
NPI assigned
Oct 2, 2008
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007367 NY Primary

Addresses

Primary practice location

586 President St Ste B
Brooklyn, NY 11215-1212

Mailing address

586 President St Ste B
Brooklyn, NY 11215-1212
Phone (718) 438-5600

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
I20090303000324 NY Practitioner - Optometry 3173689965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Montreal - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harooni and Sheindlin MD PCGroup PAC ID 3971568478, 8 clinicians

Practice addresses (Care Compare)

586 President St B
Brooklyn, NY 11215-1212
Phone (718) 438-5600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007367NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Harooni & Sheindlin MD PC CurrentSince Dec 23, 2009 Accepting new patients
Medalliance Medical Health Services Inc PastSince Dec 23, 2009 Accepting new patients
New York University Past Accepting new patients

Locations

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500

5205 Church Ave
#7
Brooklyn, NY 11203
Phone (718) 688-8000

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

719 Grand St
Brooklyn, NY 11211
Phone (718) 388-5200

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1477704872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 PRESIDENT ST STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151212",
            "telephone_number": "718-438-5600",
            "fax_number": "917-386-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 PRESIDENT ST STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151212",
            "telephone_number": "718-438-5600",
            "fax_number": "917-386-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETRIT",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.