John D Vickers, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

198664 Issued in NY

Practice address

3330 Veterans Memorial Hwy
Suite9
Bohemia, NY 11716-1036

Phone

(631) 285-6789

Fax

(631) 285-7105

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York at Stony Brook, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.25 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558493775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 VETERANS MEMORIAL HWY",
            "address_2": "SUITE9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161036",
            "telephone_number": "631-285-6789",
            "fax_number": "631-285-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 VETERANS MEMORIAL HWY",
            "address_2": "SUITE9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161036",
            "telephone_number": "631-285-6789",
            "fax_number": "631-285-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "198664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01899265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Utell, RPH
• Heather Marie Van Winkle, D.D.S.
• Xena Alexandra Vazquez, RN, BSN
• Jessica Velez, PT, DPT
• Ashley Ann Viaud, MHC
• Alexandra Villano, MHC
• Ronald Patrick Villano, LMHC-D
• Joan Vixamar, LPN
• Joseph Vollaro, PH.D.
• Maureen Vollaro, LCSW

• Ophthalmology Physician in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.