Individual provider Active NPI

Sijimol Sujoy, O.D.

  • Optometrist
  • Yonkers, NY
National Provider Identifier
1902172513
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007800 Issued in NY
Practice address
135 Midland Ter
Yonkers, NY 10704-2854
Phone
(914) 539-0624
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007800 NY Primary

Addresses

Primary practice location

135 Midland Ter
Yonkers, NY 10704-2854

Mailing address

135 Midland Ter
Yonkers, NY 10704-2854

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
I20120508000464 NY Practitioner - Optometry 6204098221 Reassigns benefits to 5 organizations
Practice locations: Hartsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Castle Hill Optometry PLLCGroup PAC ID 9830424654, 2 clinicians
Vivid Vision Optometry PLLCGroup PAC ID 7810274669, 2 clinicians

Practice addresses (Care Compare)

1264 Castle Hill Ave
Bronx, NY 10462-4811
Phone (718) 823-5006

500 E Sandford Blvd
Mount Vernon, NY 10550-4750
Phone (516) 301-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007800NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivid Vision Optometry PLLC Optometrist CurrentSince Mar 5, 2018 Accepting new patients
Castle Hill Optometry PLLC Optometrist CurrentSince Jun 2, 2019 Accepting new patients
Vivid Vision Optometry PLLC Optometrist Current Accepting new patients
Westchester Optical Inc. Optometrist CurrentSince May 25, 2014 Accepting new patients
Perfect Vision Inc CurrentSince Jun 2, 2019 Accepting new patients
Super Optical Inc. Optometrist CurrentSince May 25, 2014 Accepting new patients
Eye Design Optical LLC Optometrist CurrentSince Mar 9, 2019 Accepting new patients
Family Optical Shoppe Corp PastSince May 25, 2014 Accepting new patients

Locations

1264 Castle Hill Ave
Bronx, NY 10462
Phone (718) 823-5006

1549 Westchester Ave
Bronx, NY 10472
Phone (917) 792-3500

1571 Westchester Ave
Bronx, NY 10472
Phone (347) 702-7874

1594 Westchester Ave
Bronx, NY 10472
Phone (718) 861-6009

500 E Sandford Blvd
Mount Vernon, NY 10550
Phone (516) 301-0333

Organizations & group practices 8

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1902172513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MIDLAND TER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MIDLAND TER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042854",
            "telephone_number": "914-539-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJOY",
        "first_name": "SIJIMOL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.