Sandra Jean Tarasevich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005613 Issued in NY

Practice address

340 Route 202
BLDG a, 2ND Floor - Mailbox #7
Somers, NY 10589-3207

Phone

(914) 669-9144

Fax

(914) 669-1035

NPI assigned

Jan 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Omni Vision Optometric Eye Care PLLC

  • Optometrist
  • Somers, NY
  • NPI 1457548802
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1972583128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202",
            "address_2": "BLDG A, 2ND FLOOR - MAILBOX #7",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893207",
            "telephone_number": "914-669-9144",
            "fax_number": "914-669-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202",
            "address_2": "BLDG A, 2ND FLOOR - MAILBOX #7",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893207",
            "telephone_number": "914-669-9144",
            "fax_number": "914-669-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASEVICH",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P1961894",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP ID",
            "identifier": "597225",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "6599675",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "4C1816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID",
            "identifier": "007934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7636057",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "C1T481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Arthur Stauber, DDS
• Mitchell Barry Stein, DDS
• Maureen Anne Sullivan, LPN
• T M Pharmacy Inc
• Judith Marie Talmo, PT
• Carol Theodore, FNP
• Marc Tisch, D.D.S.
• William Tomback, D.P.M.
• Frank Thomas Turchioe, DC
• Brendan Twist, LCSW

• Optometrist in Somers, NY
• Providers in Somers, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.

Verify at the official NPI Registry.