Active NPI
Margaret Mary Siegrist, O.D.
- Optometrist
- Valley Cottage, NY
National Provider Identifier
1932172152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT 004472
- Practice address
- 612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021 - Phone
- (845) 268-0045
- Fax
- (845) 268-0998
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT 004472 | NY | Primary |
| Optometrist | 152W00000X | 4536 | NJ | |
| Optometrist | 152W00000X | OPC1971 | FL |
Addresses
Primary practice location
612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021
Mailing address
612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2021
Phone (845) 268-0045
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 |
|---|---|---|---|
| OPC1971 | FL | MD | Optometrist |
| 4536 | NJ | MD | Optometrist |
| VUT 004472 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Family Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
612 Corporate Way
Ste 3
Vly Cottage, NY 10989
Phone (845) 268-0045
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.
-
- Optometrist
- Valley Cottage, NY
- NPI 1033826474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1932172152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY",
"address_2": "SUITE 3",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892021",
"telephone_number": "845-268-0045",
"fax_number": "845-268-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY",
"address_2": "SUITE 3",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892021",
"telephone_number": "845-268-0045",
"fax_number": "845-268-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGRIST",
"first_name": "MARGARET",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT 004472",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4536",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.