Active NPI
Sheri L Coatney, OD
- Optometrist
- Lake Success, NY
National Provider Identifier
1922192889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003120
- Practice address
- 1979 Marcus Ave Ste 206
Lake Success, NY 11042 - Phone
- (877) 506-0002
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005579 | NY | |
| Optometrist | 152W00000X | 19171-875 | WI | |
| Optometrist | 152W00000X | 00001797 | WA | |
| Optometrist | 152W00000X | TP0P50 | FL | |
| Optometrist | 152W00000X | 4901003120 | MI | Primary |
Addresses
Primary practice location
1979 Marcus Ave Ste 206
Lake Success, NY 11042
Mailing address
P.O. Box 280
Allegany, NY 14706
Phone (716) 378-8563
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025361401 | Other | NY | UNIVERA HEALTHCARE |
| 01649476 | Medicaid | NY | |
| 003900633 | Other | NY | WNYBCBS |
| 650 | Other | DAVIS PANEL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP0P50 | FL | MD | Optometrist |
| 4901003120 | MI | MD | Optometrist |
| T005579 | NY | MD | Optometrist |
| 00001797 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coatney Enterprises Inc. | Past | Accepting new patients | |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Optometrist
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- NPI 1770621971
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1922192889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 280",
"city": "ALLEGANY",
"state": "NY",
"postal_code": "14706",
"telephone_number": "716-378-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 MARCUS AVE STE 206",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "877-506-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATNEY",
"first_name": "SHERI",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005579",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "19171-875",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "00001797",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "TP0P50",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00025361401",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01649476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WNYBCBS",
"identifier": "003900633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS PANEL",
"identifier": "650",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.