| Sandra Cammilleri Kellett Od, Faao, Pc | |
|
3630 Hill Blvd, Suite 303, Jefferson Valley, NY 10535-1505 | |
| (914) 962-8111 | |
| (914) 962-8160 |
| Full Name | Sandra Cammilleri Kellett Od, Faao, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3630 Hill Blvd, Jefferson Valley, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639350911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | VUT005605-1 (New York) | Primary |
| Provider Name | Sandra C Kellett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174627715 PECOS PAC ID: 6608957576 Enrollment ID: I20080125000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Cammilleri Kellett Od, Faao, Pc 3630 Hill Blvd, Suite 303, Jefferson Valley, NY 10535-1505 Ph: (914) 962-8111 | Sandra Cammilleri Kellett Od, Faao, Pc 3630 Hill Blvd, Suite 303, Jefferson Valley, NY 10535-1505 Ph: (914) 962-8111 |
Dr. Faith Schiff, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3656 Lee Rd, Jefferson Valley, NY 10535 Phone: 914-245-5151 | |
Dr. Sandra C Kellett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 Hill Blvd, Suite 303, Jefferson Valley, NY 10535 Phone: 914-962-8111 Fax: 914-962-8160 | |
Michelle Macchi, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3656 Lee Rd, Jefferson Valley, NY 10535 Phone: 914-245-1222 |