Active NPI
Monica Redmond, OD
- Optometrist
- Hudson Falls, NY
National Provider Identifier
1770656191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006839-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C369F1 | Other | NY | EMPIRE |
| 10089360 | Other | NY | CDPHP |
| 000408532001 | Other | NY | BSNENY |
| 782077 | Other | NY | MVP |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006839-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Eye Care and Optometry PC | Current | 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.
-
- Pediatric Optometrist
- Hudson Falls, NY
- NPI 1629124649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.