Individual provider Active NPI

Cledis Ramirez-McTeir, OD

  • Optometrist
  • Sunnyside, NY
National Provider Identifier
1811595291
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009266 Issued in NY
Practice address
4413 Queens Blvd
Sunnyside, NY 11104-2405
Phone
(718) 784-2477
Fax
(718) 784-2433
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 009266 NY Primary

Addresses

Primary practice location

4413 Queens Blvd
Sunnyside, NY 11104-2405

Mailing address

4413 Queens Blvd
Sunnyside, NY 11104-2405
Phone (718) 784-2477

Other names 1

  • Cledis V Ramirez-Reyes Former name

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
I20210524002607 NY Practitioner - Optometry 1456760545 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009266NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Optics LLC CurrentSince Mar 24, 2025 Accepting new patients
Dr. Lucia Patino, Optometrist, PC Optometrist CurrentSince Feb 20, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 10, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 10, 2022 Accepting new patients
Brandon B Johnson MD PC PastSince Feb 20, 2021 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8114 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 505-9401

215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400

55 Water St
Fl 2
New York, NY 10041

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

4413 Queens Blvd
Sunnyside, NY 11104
Phone (718) 784-2477

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1811595291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042405",
            "telephone_number": "718-784-2477",
            "fax_number": "718-784-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042405",
            "telephone_number": "718-784-2477",
            "fax_number": "718-784-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-MCTEIR",
        "first_name": "CLEDIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEDIS",
            "last_name": "RAMIREZ-REYES",
            "middle_name": "V",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.