Michelle Anne McKillop, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009141 Issued in NY

Practice address

887 Old Country Rd Ste GKL
Riverhead, NY 11901-2115

Phone

(631) 727-2858

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Vision Care, IncGroup PAC ID 5496801417, 6 clinicians

SVC of Coram LLCGroup PAC ID 8426487315, 2 clinicians

SVC of Southold LLCGroup PAC ID 7810326709, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sound Vision Care, Inc.

  dba Sound Vision Care

  • Eyewear Supplier
  • Riverhead, NY
  • NPI 1487809406

  Optometrist

  Medicare reassignment Care Compare group NPD
• SVC of Coram LLC

  dba Sound Vision Care

  • Optometrist
  • Medford, NY
  • NPI 1619411972
  Medicare reassignment Care Compare group NPD
• SVC of Southold LLC

  dba Sound Vision Care

  • Optometrist
  • Southold, NY
  • NPI 1710421078
  Medicare reassignment Care Compare group NPD
• SVC of Bensonhurst LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1356095608
  Medicare reassignment NPD
• SVC of Fresh Meadows LLC

  • Optometrist
  • Fresh Meadows, NY
  • NPI 1891398384
  Medicare reassignment NPD
• SVC of Manhasset LLC

  • Optometrist
  • Manhasset, NY
  • NPI 1366059172
  Medicare reassignment NPD
• SVC of Riverhead LLC

  • Optometrist
  • Riverhead, NY
  • NPI 1881221695
  Medicare reassignment NPD
• Fresh Eyes Inc

  • Optometrist
  • Fresh Meadows, NY
  • NPI 1043496367
  NPD
• Long Island Optometric Eyecare,PC

  • Optometrist
  • Mastic, NY
  • NPI 1750738944
  NPD
• SVC of Forest Hills One LLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1861003352
  NPD
• SVC of Mastic LLC

  • Optometrist
  • Mastic, NY
  • NPI 1831708353
  NPD
• SVC of Murray Hill, LLC

  • Optometrist
  • New York, NY
  • NPI 1134736945
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1851917256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHERWOOD CRES",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD STE GKL",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann McGarrity, LMSW
• Anne McGarry, SLP
• Grace Claire McGloine, RN
• Britney A McGowan, LPN
• Jordan Alexis McKernan, LMSW
• Wendy J McLaughlin, NPP
• Lara McNeil, DCN, RDN, CDN
• Fatema Meah, MD
• Mehta & Mehta Physicians PC
• Arjun Mehta, M.D.

• Optometrist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.