Individual provider Active NPI

Joseph A Carrock, OD

  • Optometrist
  • New Hartford, NY
National Provider Identifier
1003972399
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005308 Issued in NY
Practice address
4660 Commercial Dr
New Hartford, NY 13413-6203
Phone
(315) 797-2020
Fax
(315) 736-2472
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005308 NY Primary

Addresses

Primary practice location

4660 Commercial Dr
New Hartford, NY 13413-6203

Mailing address

4660 Commercial Dr
New Hartford, NY 13413-6203
Phone (315) 797-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181205000988 NY Practitioner - Optometry 7719910686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Vision Center Inc.Group PAC ID 4688573876, 7 clinicians

Practice addresses (Care Compare)

2921 Erie Blvd E
Syracuse, NY 13224-1430
Phone (315) 446-5120

50 Auert Ave
Utica, NY 13502-2326
Phone (315) 724-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Mar 3, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Mar 3, 2024 Accepting new patients
Eye Designs Unlimited Optometry PC Optometrist PastSince Nov 12, 2012 Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1003972399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136203",
            "telephone_number": "315-797-2020",
            "fax_number": "315-736-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136203",
            "telephone_number": "315-797-2020",
            "fax_number": "315-736-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROCK",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.