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

Active since November 15, 2007
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 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Cammilleri Kellett Od, Faao, Pc NPPES

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

SANDRA CAMMILLERI KELLETT OD, FAAO, PC (NPI 1639350911) is a healthcare organization registered as an optometrist in Jefferson Valley, New York and active in the NPI registry since November 2007. The organization lists Sandra C Kellett, Od/sole Owner, as its authorized official.

NPPES Registry Identity

NPI1639350911
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSANDRA CAMMILLERI KELLETT OD, FAAO, PC
Location Address3630 HILL BLVD, SUITE 303Jefferson Valley, NY 10535-1505
Mailing Address3630 Hill Blvd, Suite 303Jefferson Valley, NY 10535-1505 · (914) 962-8111 · Fax (914) 962-8160
Phone(914) 962-8111
Fax(914) 962-8160
Organization SubpartNo
Authorized OfficialSandra C KellettOd/sole Owner · (914) 962-8111
Enumeration DateNovember 15, 2007
Last NPPES UpdateNovember 5, 2008
✔ NPI 1639350911 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 1

Medicare NSC4242180001NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Cammilleri Kellett Od, Faao, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sandra Cammilleri Kellett Od, Faao, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Kellett, O.D.
Optometry
NPI 1174627715
3630 HILL BLVD SUITE 303
Jefferson Valley, NY 10535
(914) 962-8111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cammilleri Kellett Od, Faao, PC's NPI number?

The NPI number for Sandra Cammilleri Kellett Od, Faao, PC is 1639350911. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Sandra Cammilleri Kellett Od, Faao, PC located?

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

What is Sandra Cammilleri Kellett Od, Faao, PC's specialty?

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

Is Sandra Cammilleri Kellett Od, Faao, PC enrolled in Medicare?

Yes. Sandra Cammilleri Kellett Od, Faao, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandra Cammilleri Kellett Od, Faao, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Sandra Cammilleri Kellett Od, Faao, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sandra Cammilleri Kellett Od, Faao, PC accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Sandra Cammilleri Kellett Od, Faao, PC 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 Cammilleri Kellett Od, Faao, PC was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.