SANDRA CAMMILLERI KELLETT OD, FAAO, PC
NPI 1639350911
Optometrist in Jefferson Valley, NY

NPI Status: Active since November 15, 2007

Contact Information

3630 HILL BLVD
SUITE 303
JEFFERSON VALLEY, NY
ZIP 10535
Phone: (914) 962-8111
Fax: (914) 962-8160

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  • Organization
  • Optometrist
  • Accepts Insurance

About SANDRA CAMMILLERI KELLETT OD, FAAO, PC

This page provides the complete NPI Profile along with additional information for Sandra Cammilleri Kellett Od, Faao, Pc, a provider established in Jefferson Valley, New York operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1639350911 assigned on November 2007. The practitioner's primary taxonomy code is 152W00000X with license number VUT005605-1 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sandra C Kellett (Od/sole Owner)

NPI
1639350911
Provider Name
SANDRA CAMMILLERI KELLETT OD, FAAO, PC
Entity Type
Organization
Location Address
3630 HILL BLVD SUITE 303 JEFFERSON VALLEY, NY 10535
Location Phone
(914) 962-8111
Location Fax
(914) 962-8160
Mailing Address
3630 HILL BLVD SUITE 303 JEFFERSON VALLEY, NY 10535
Mailing Phone
(914) 962-8111
Mailing Fax
(914) 962-8160
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2007
Last Update Date
11-05-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
VUT005605-1
License State
NY
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDRA C KELLETT

Authorized Official Title
OD/SOLE OWNER
Authorized Official Phone
(914) 962-8111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4242180001MEDICARE NSC (07)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639350911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266965092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 5 + 0 + 9 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639350911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922077957DR. MARC P KAUFMAN DDS
Individual
Dentist (General Practice)3630 HILL BLVD SUITE 306
JEFFERSON VALLEY, NY 10535
(914) 962-6444
1174627715DR. SANDRA C KELLETT O.D.
Individual
Optometrist3630 HILL BLVD SUITE 303
JEFFERSON VALLEY, NY 10535
(914) 962-8111
1245323625DR. BENJAMIN DANCYGIER DDS
Individual
Dentist (Pediatric Dentistry)3630 HILL BLVD SUITE #401
JEFFERSON VALLEY, NY 10535
(914) 245-7100
1336215904DR. ROBERT ALAN ABDOO MD
Individual
Internal Medicine3630 HILL BLVD STE 402
JEFFERSON VALLEY, NY 10535
(914) 245-8808
1205990017DR. ARNOLD LEWIS ISAACSON D.P.M.
Individual
Podiatrist (Foot Surgery)3630 HILL BLVD SUITE 104
JEFFERSON VALLEY, NY 10535
(914) 962-5571
1578629440MR. RONALD MARK SALON MSW
Individual
Counselor (Mental Health)3630 HILL BLVD SUITE 204
JEFFERSON VALLEY, NY 10535
(914) 962-1931
1891811808DR. JOLLY ANNE CHERRY D.D.S
Individual
Dentist (General Practice)3630 HILL BLVD SUITE 201
JEFFERSON VALLEY, NY 10535
(914) 962-7337
1104944321PODIATRY ASSOCIATES, INC.
Organization
Podiatrist3630 HILL BLVD SUITE 104
JEFFERSON VALLEY, NY 10535
(914) 962-5571
1295938264DR. ROBERT CROSS DDS
Individual
Dentist (Periodontics)3630 HILL BLVD SUITE 302
JEFFERSON VALLEY, NY 10535
(914) 243-5597
1245405513JEFFREY P SCHACHNE MD
Organization
Dermatology3630 HILL BLVD SUITE 101
JEFFERSON VALLEY, NY 10535
(914) 962-6222
1154587236MS. MARTHA C PHILLIPS MACCC-A
Individual
Audiologist3630 HILL BLVD SUITE 202
JEFFERSON VALLEY, NY 10535
(914) 245-7700
1093012114JEFFERSON VALLEY PODIATRY ASSOCIATES, P.C.
Organization
Podiatrist3630 HILL BLVD SUITE 104
JEFFERSON VALLEY, NY 10535
(914) 962-5571
1477617348DR. CHARLES M FILLEBROWN DPM
Individual
Podiatrist3630 HILL BLVD SUITE 104
JEFFERSON VALLEY, NY 10535
(914) 962-5571
1558402974RAYMOND OPTICIANS
Organization
Technician/Technologist (Optician)3630 HILL BLVD SUITE 203
JEFFERSON VALLEY, NY 10535
(914) 245-5151
1225121551VALLEY PEDIATRIC DENTISTRY, PC
Organization
Clinic/Center (Dental)3630 HILL BLVD SUITE 401
JEFFERSON VALLEY, NY 10535
(914) 245-7100
1437208642VALLEY EAR, NOSE AND THROAT
Organization
Otolaryngology3630 HILL BLVD SUITE 202
JEFFERSON VALLEY, NY 10535
(914) 245-7700
1154541381DENTAL ASSOCIATES OF WESTCHESTER
Organization
Dentist (General Practice)3630 HILL BLVD SUITE 306
JEFFERSON VALLEY, NY 10535
(914) 962-6444
1215225164MRS. JENNIFER KANTOR JACKMAN LCSW
Individual
Social Worker (Clinical)3630 HILL BLVD SUITE 204A
JEFFERSON VALLEY, NY 10535
(914) 302-2858
1215024898MS. SEJAL R OTERO PA
Individual
Physician Assistant (Medical)3630 HILL BLVD STE 402
JEFFERSON VALLEY, NY 10535
(914) 245-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639350911, enumerated in the NPI registry as an "organization" on November 15, 2007

The provider is located at 3630 Hill Blvd Suite 303 Jefferson Valley, Ny 10535 and the phone number is (914) 962-8111

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.