Sandra L Segerson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007634-1 Issued in NY

Practice address

924 Kenmore Ave
Buffalo, NY 14216-1451

Phone

(716) 876-2020

Fax

(716) 876-3261

NPI assigned

Aug 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fichte-Endl & Elmer Eye Surgery, PC

  • Ophthalmology Physician
  • Amherst, NY
  • NPI 1063459808

  Optometrist

  Medicare reassignment Care Compare group NPD
• Kenmore Eye Care Inc.

  • Optometrist
  • Amherst, NY
  • NPI 1134308240
  Medicare reassignment NPD
• Fichte, Endl & Elmer Eye Surgery PC

  • Eyewear Supplier
  • Amherst, NY
  • NPI 1619984069
  NPD
• Kenmore Eyecare Inc.

  • Optometrist
  • Buffalo, NY
  • NPI 1497943096
  NPD
• Mid-City Opticians

  • Eyewear Supplier
  • North Tonawanda, NY
  • NPI 1225168990
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1609182104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161451",
            "telephone_number": "716-876-2020",
            "fax_number": "716-876-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161451",
            "telephone_number": "716-876-2020",
            "fax_number": "716-876-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSON",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007634-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Sedlacek
• Robyn Nicole Mertz Sedotto, PH.D.
• Cathleen Seebald, NP
• Lynn Seelbinder
• Alan R Segal, M.D.
• Emily Anne Seggio
• Ann Grace Seibel, RN
• Kaitriana Seibel, MS
• Susan B Seidenberg, M.S.,CCC/SLP
• Sade Seidu

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.