DR. SANDRA C KELLETT O.D.
NPI 1174627715
Optometrist in Jefferson Valley, NY

Q: What is Sandra Kellett's NPI number?

The NPI number for Sandra Kellett is 1174627715. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Sandra Kellett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Kellett was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment

3630 HILL BLVD, SUITE 303, JEFFERSON VALLEY, NY 10535(914) 962-8111(914) 962-8160 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Sandra C Kellett O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDRA C KELLETT O.D. (NPI 1174627715) is an individual optometrist in Jefferson Valley, New York, licensed in New York (VUT005605-1) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1174627715

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SANDRA C KELLETTCredential: O.D.

Location Address3630 HILL BLVD, SUITE 303Jefferson Valley, NY 10535-1502

Mailing Address3630 Hill Blvd, Suite 303Jefferson Valley, NY 10535-1502 · (914) 962-8111 · Fax (914) 962-8160

Phone(914) 962-8111

Fax(914) 962-8160

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateSeptember 12, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1174627715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · VUT005605-1

Definition

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.

3630 HILL BLVD, Jefferson Valley, NY 10535

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Other Identifiers 12

OtherC23392NY · Empire Blue Cross/shield

Other17390PNY · Hip

Other2508518NY · Aetna Us Health Hmo

Other4242180001NY · Med Durable Medical Equip

Medicare UPINU66324NY

Other5714530NY · Aetna Us Health Ppo

OtherP677288NY · Oxford

Medicare ID-Type UnspecifiedC23392NY

OtherP-11097425NY · Multiplan

OtherC23392NY · Federal Blue Cross

Other3C0168NY · Healthnet Of The Northeas

Other597002NY · Mvp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandra C Kellett O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608957576

PECOS Enrollment IDI20080125000397

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

251 services251 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

182 services182 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

155 services102 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

60 services53 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

54 services54 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

50 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON VALLEY PODIATRY ASSOCIATES, P.C.

Podiatrist

3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535

Westchester County (914) 962-5571

PODIATRY ASSOCIATES, INC.

Podiatrist

3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535

Westchester County (914) 962-5571

DENTAL ASSOCIATES OF WESTCHESTER

Dentist (General Practice)

3630 HILL BLVD, SUITE 306
JEFFERSON VALLEY, NY 10535

Westchester County (914) 962-6444

MS. MARTHA C PHILLIPS MACCC-A

Audiologist

3630 HILL BLVD, SUITE 202
JEFFERSON VALLEY, NY 10535

Westchester County (914) 245-7700

DR. ARNOLD LEWIS ISAACSON D.P.M.

Podiatrist (Foot Surgery)

3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535

Westchester County (914) 962-5571

MS. SEJAL R OTERO PA

Physician Assistant (Medical)

3630 HILL BLVD, STE 402
JEFFERSON VALLEY, NY 10535

Westchester County (914) 245-5400

MRS. JENNIFER KANTOR JACKMAN LCSW

Social Worker (Clinical)

3630 HILL BLVD, SUITE 204A
JEFFERSON VALLEY, NY 10535

Westchester County (914) 302-2858

VALLEY PEDIATRIC DENTISTRY, PC

Clinic/Center (Dental)

3630 HILL BLVD, SUITE 401
JEFFERSON VALLEY, NY 10535

Westchester County (914) 245-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Kellett's NPI number?

The NPI number for Sandra Kellett is 1174627715. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Sandra Kellett located?

Sandra Kellett practices at 3630 Hill Blvd Suite 303, Jefferson Valley, NY 10535. The listed phone number is (914) 962-8111.

What is Sandra Kellett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sandra Kellett enrolled in Medicare?

Yes. Sandra Kellett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Kellett accept?

Health plans from Providence Health Plan list Sandra Kellett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Kellett was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.