Active NPI
Sherri Macdougall
- Optician
- Amsterdam, NY
National Provider Identifier
1881412567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009205
- Practice address
- 101 Sanford Farms Shopping Ctr
Amsterdam, NY 12010-7535 - Phone
- (518) 843-0189
- NPI assigned
- Oct 1, 2024
- Last updated
- Oct 1, 2024
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 009205 | NY | Primary |
Addresses
Primary practice location
101 Sanford Farms Shopping Ctr
Amsterdam, NY 12010-7535
Mailing address
101 Sanford Farms Shopping Ctr
Amsterdam, NY 12010-7535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009205 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Optometric | Current | Accepting new patients | |
| Patricia D. Caruso,O.D. | Past | Accepting new patients |
Locations
101 Sanford Farms Shopping Ctr
Amsterdam, NY 12010
Phone (518) 842-3601
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.
-
- Optometrist
- Amsterdam, NY
- NPI 1326287293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1881412567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SANFORD FARMS SHOPPING CTR",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SANFORD FARMS SHOPPING CTR",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107535",
"telephone_number": "518-843-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDOUGALL",
"first_name": "SHERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.