Individual provider Active NPI

Joselyn Gail Redmond, OD

  • Optometrist
  • Lackawanna, NY
National Provider Identifier
1629797568
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009659 Issued in NY
Practice address
1234 Abbott Rd
Lackawanna, NY 14218-1944
Phone
(716) 272-1140
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009659 NY Primary

Addresses

Primary practice location

1234 Abbott Rd
Lackawanna, NY 14218-1944

Mailing address

7004 Sunset LN Apt 1
Boston, NY 14025-9794

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
I20221221000902 NY Practitioner - Optometry 7113396912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharma Ophthalmology PLLCGroup PAC ID 9032275979, 3 clinicians

Practice addresses (Care Compare)

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Ophthalmology PLLC CurrentSince Jan 10, 2024 Accepting new patients
Optics Fashion Eyewear, LLC Past Accepting new patients

Locations

5844 Southwestern Blvd
Ste 600
Hamburg, NY 14075
Phone (716) 898-2002

12657 Seneca Rd
Irving, NY 14081
Phone (716) 934-3300

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1629797568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SUNSET LN APT 1",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 ABBOTT RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181944",
            "telephone_number": "716-272-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "JOSELYN",
        "middle_name": "GAIL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

Verify at the official NPI Registry.