Active NPI
James Sickler, O.D.
- Optometrist
- Medina, NY
National Provider Identifier
1922256205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007661-1
- Practice address
- 500 Erie St
Medina, NY 14103-1010 - Phone
- (585) 798-2020
- Fax
- (585) 798-3365
- NPI assigned
- Aug 29, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007661-1 | NY | Primary |
Addresses
Primary practice location
500 Erie St
Medina, NY 14103-1010
Mailing address
500 Erie St
Medina, NY 14103-1010
Phone (585) 798-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922256205 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsick@21114.mvedirect.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110706000263 | NY | Practitioner - Optometry | 1153509567 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007661-1 | NY | MD | Optometrist |
| 007661 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lpec Medical Eye Care PLLC | Current | Accepting new patients |
Locations
500 Erie St
Medina, NY 14103
Phone (585) 798-2020
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lpec Medical Eye Care PLLC
Practice addresses (Care Compare)
500 Erie St
Medina, NY 14103-1010
500 Erie St S
Medina, NY 14103-1010
Phone (585) 798-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.29 of 100
- Quality
- 98.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.54
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1922256205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ERIE ST",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031010",
"telephone_number": "585-798-2020",
"fax_number": "585-798-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ERIE ST",
"city": "MEDINA",
"state": "NY",
"postal_code": "141031010",
"telephone_number": "585-798-2020",
"fax_number": "585-798-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKLER",
"first_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007661-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922256205",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsick@21114.mvedirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "health",
"address_1": "500 Erie St",
"city": "Medina",
"state": "NY",
"country_code": "US",
"postal_code": "141031010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.