Individual provider Active NPI

Monica Redmond, OD

  • Optometrist
  • Hudson Falls, NY
National Provider Identifier
1770656191
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006839-1 Issued in NY
Practice address
3685 Burgoyne Ave
Hudson Falls, NY 12839-2168
Phone
(518) 747-4100
Fax
(518) 747-6151
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006839-1 NY Primary

Addresses

Primary practice location

3685 Burgoyne Ave
Hudson Falls, NY 12839-2168

Mailing address

3685 Burgoyne Ave
Hudson Falls, NY 12839-1266
Phone (518) 747-4100

Other identifiers 4

IdentifierTypeStateIssuer
C369F1OtherNYEMPIRE
10089360OtherNYCDPHP
000408532001OtherNYBSNENY
782077OtherNYMVP

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
I20050701000182 NY Practitioner - Optometry 2264478304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3685 Burgoyne Ave
Hudson Falls, NY 12839-1266
Phone (518) 747-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006839-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Eye Care and Optometry PC CurrentSince Feb 1, 2005 Accepting new patients

Locations

3685 Burgoyne Ave
Hudson Falls, NY 12839
Phone (518) 747-4100

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1770656191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 BURGOYNE AVE",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391266",
            "telephone_number": "518-747-4100",
            "fax_number": "518-747-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 BURGOYNE AVE",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392168",
            "telephone_number": "518-747-4100",
            "fax_number": "518-747-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "C369F1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10089360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000408532001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "782077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.