Individual provider Active NPI

Sherin George, OD

  • Optometrist
  • Franklin Square, NY
National Provider Identifier
1851312490
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-006797 Issued in NY
Practice address
918 Hempstead Tpke
Franklin Square, NY 11010-3637
Phone
(516) 354-4242
Fax
(516) 354-4242
NPI assigned
Jul 21, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-006797 NY Primary

Addresses

Primary practice location

918 Hempstead Tpke
Franklin Square, NY 11010-3637

Mailing address

924 Hempstead Tpke
Franklin Square, NY 11010-3628
Phone (516) 354-4242

Other identifiers 1

IdentifierTypeStateIssuer
02601756MedicaidNY

Other names 1

  • Sherin Varghese 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
I20060301000573 NY Practitioner - Optometry 4082620943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

924 Hempstead Tpke
Franklin Square, NY 11010-3628
Phone (516) 354-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV-006797NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J S G Optometry PC Optometrist CurrentSince Feb 1, 2006 Accepting new patients
Visiting Eyecare Service, Inc. Optometrist PastSince Nov 1, 1995 Accepting new patients

Locations

924 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 354-4242

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1851312490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103628",
            "telephone_number": "516-354-4242",
            "fax_number": "516-354-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103637",
            "telephone_number": "516-354-4242",
            "fax_number": "516-354-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHERIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-006797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIN",
            "last_name": "VARGHESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.