Brett McLeod Paepke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006529-1 Issued in NY

Practice address

202 West Bay PLZ
Plattsburgh, NY 12901-1786

Phone

(518) 563-5460

Fax

(888) 244-5003

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Firstview Eye Care Associates

  • Optometrist
  • Plattsburgh, NY
  • NPI 1437108529
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1013966381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST BAY PLZ",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011786",
            "telephone_number": "518-563-5460",
            "fax_number": "888-244-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST BAY PLZ",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011786",
            "telephone_number": "518-563-5460",
            "fax_number": "888-244-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEPKE",
        "first_name": "BRETT",
        "middle_name": "MCLEOD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006529-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010006529",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSHD NE NY",
            "identifier": "000415913002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allsun Ozyesil, LMHC, NCC
• Theodore Shuster Pabst III, M.D.
• William Anthony Pace, MD
• Jason A. Pachter, MA, ATC, CSCS
• Cara M Padovano, FNP
• Charles W Paepke, OD
• Jessie M Palian, M.A. CCC-SLP
• Christopher Scott Palma, DO
• Brett Palmer, PA-C
• Crystal L Palmer, RPA-C

• Optometrist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.