Individual provider Active NPI

James Sickler, O.D.

  • Optometrist
  • Medina, NY
National Provider Identifier
1922256205
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007661-1 Issued in NY
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

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1922256205MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000263 NY Practitioner - Optometry 1153509567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007661-1NYMDOptometrist
007661NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lpec Medical Eye Care PLLC CurrentSince Jun 24, 2011 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 3 clinicians

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 100Reported as group
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

Verify at the official NPI Registry.