Eyes on Main St. Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008297 Issued in NY

Legal business name

EYES ON MAIN ST. OPTOMETRY PLLC

Practice address

4895 State Route 52
Jeffersonville, NY 12748

Phone

(845) 482-2425

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maegan Sauer, ODNPI 1891177374

Title

Optometrist

Phone

(845) 482-2425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maegan Rae Sauer, O.D.

  • Optometrist
  • Jeffersonville, NY
  • NPI 1891177374
  Medicare reassignment NPD Authorized official
• David Allen Sager, D.C.

  • Chiropractor
  • Jeffersonville, NY
  • NPI 1902992415
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1609369107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127480067",
            "telephone_number": "845-482-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 STATE ROUTE 52",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "12748",
            "telephone_number": "845-482-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON MAIN ST. OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "MAEGAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "845-482-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Alexandra Andrade, COTA
• Bodenstein Chiropractic
• Theresa Busardo-Bolduc, INTERN THERAPIST
• Ander Camino
• Dependable Medical Transsport
• Joseph A Fiorille, R.PH
• John Goodfriend
• Nicole Hillard, RN
• Jefferson Pharmacy Inc
• Jeffersonville Volunteer First Aid Corps Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.