Individual provider Active NPI

Sophie Poselle, OD

  • Optometrist
  • Larchmont, NY
National Provider Identifier
1902946445
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005995 Issued in NY
Practice address
2365 Boston Post Rd Ste 202
Larchmont, NY 10538-3559
Phone
(914) 834-2020
Fax
(914) 834-8206
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 TUV005995 NY Primary

Addresses

Primary practice location

2365 Boston Post Rd Ste 202
Larchmont, NY 10538-3559

Mailing address

2365 Boston Post Rd Ste 202
Larchmont, NY 10538-3559
Phone (914) 834-2020

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
I20040512000506 NY Practitioner - Optometry 2769471804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2365 Boston Post Rd
Suite 202
Larchmont, NY 10538-3559
Phone (914) 834-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005995NYMDMental Health Counselor
TUV005995NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sophie Poselle, Optometrist, P.C. Optometrist CurrentSince Mar 1, 2012 Accepting new patients
Tania Stevens Optometrist PC Optometrist PastSince Mar 1, 2012 Accepting new patients
Florence Milch, MD PC Past Accepting new patients

Locations

2365 Boston Post Rd
Ste 202
Larchmont, NY 10538
Phone (914) 834-2020

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1902946445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD STE 202",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383559",
            "telephone_number": "914-834-2020",
            "fax_number": "914-834-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD STE 202",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383559",
            "telephone_number": "914-834-2020",
            "fax_number": "914-834-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSELLE",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.