Tracy Sherman Sheedy, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

VUT005760 Issued in NY

Practice address

7381 S Broadway
Red Hook, NY 12571-1745

Phone

(845) 758-8818

Fax

(845) 758-9215

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

State University of New York - State College Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutchess Optometry, LLPGroup PAC ID 7719877729, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.sheedy@direct.revolutionehr.com

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.

• Dutchess Optometry, LLP

  • Optometrist
  • Red Hook, NY
  • NPI 1508900242
  Medicare reassignment Care Compare group NPD
• Dutchess Optometry, L.L.P.

  • Optometrist
  • Poughkeepsie, NY
  • NPI 1174684088
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1659341600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 S BROADWAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711745",
            "telephone_number": "845-758-8818",
            "fax_number": "845-758-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 S BROADWAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711745",
            "telephone_number": "845-758-8818",
            "fax_number": "845-758-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEDY",
        "first_name": "TRACY",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "VUT005760",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "C211C1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "VUT005760",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "903535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "903534",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "597054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Joy Schoellig, OTD, OTR/L
• Rebecca Scribner, MSW
• Chauntel Shaffer, MS,CCC-SLP
• Jamie Harris Shedrofsky, LCSW
• Paul Crowley Sheedy
• Lara Simmons, MSED CCC-SLP
• Jesse Sawyer Smith, OTR/L
• Katherine Ann Smith, LCSWR
• Barbara Gail Solomon, LCSWR
• St Peters Health Partners Medical Associates, PC

• Low Vision Rehabilitation Optometrist in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Low Vision Rehabilitation Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.