Individual provider Active NPI

Kelley E Cerchione, OD

  • Optometrist
  • Margate City, NJ
National Provider Identifier
1740832500
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00717500 Issued in NJ
Practice address
9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222
Phone
(609) 822-4242
Fax
(609) 822-3211
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00717500 NJ Primary

Addresses

Primary practice location

9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222

Mailing address

9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222
Phone (609) 822-4242

Other identifiers 2

IdentifierTypeStateIssuer
300050052MedicaidIN
7100656280MedicaidKY

Other names 1

  • Dr. Kelley Elizabeth Sedlock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230110002591 NJ Practitioner - Optometry 1456789940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 4082618764, 15 clinicians

Practice addresses (Care Compare)

9701 Ventnor Ave
Margate, NJ 08402-2222
Phone (609) 822-4242

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
75.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Care PA Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Horizon Eye Care PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

9701 Ventnor Ave
Margate City, NJ 08402
Phone (609) 822-4242

9701 Ventnor Ave
Ste 201
Margate City, NJ 08402
Phone (609) 822-4242

2401 Bay Ave
Ocean City, NJ 08226
Phone (609) 399-6102

Interoperability endpoints

  • Direct secure messaging: kcerchione@hecl.intellechartdirect.net
  • Direct secure messaging: kelley.sedlock.p1@direct.horizoneyecare.nextgenshare.com
  • Direct secure messaging: ksedlock@bennettbloomeyecenters.imwdirect.com

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1740832500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERCHIONE",
        "first_name": "KELLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00717500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050052",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100656280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "SEDLOCK",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Margate City, NJ

Sources for this page

Verify at the official NPI Registry.