Organization Active NPI

Firstview Eye Care Doctor of Optometry, PLLC

  • Optometrist
  • Plattsburgh, NY
National Provider Identifier
1043268733
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003778-1 Issued in NY
Legal business name
FIRSTVIEW EYE CARE DOCTOR OF OPTOMETRY, PLLC
Practice address
202 West Bay Plaza
Plattsburgh, NY 12901-1786
Phone
(518) 563-5460
Fax
(888) 244-5003
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dr. Charles W Paepke, OD
Title
Optometrist
Phone
(518) 563-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003778-1 NY Primary

Addresses

Primary practice location

202 West Bay Plaza
Plattsburgh, NY 12901-1786

Mailing address

202 West Bay Plaza
Plattsburgh, NY 12901-1786
Phone (518) 563-5460

Other identifiers 1

IdentifierTypeStateIssuer
415801001OtherNYBLSHD NE NY

Other names 1

  • Charles W Paepke OD Former legal business name

National Provider Directory

National Provider Directory

Locations

202 W Bay Plz
Plattsburgh, NY 12901
Phone (518) 563-5460

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1043268733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST BAY PLAZA",
            "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 PLAZA",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011786",
            "telephone_number": "518-563-5460",
            "fax_number": "888-244-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTVIEW EYE CARE DOCTOR OF OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "PAEPKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "518-563-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003778-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSHD NE NY",
            "identifier": "415801001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles W Paepke OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.