NPIMap

Organization Active NPI

Augustus Guarente OD

  • Optometrist
  • Kingston, NY
National Provider Identifier
1043495070
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AUGUSTUS GUARENTE OD
Practice address
240 Lucas Ave
Kingston, NY 12401-4316
Phone
(845) 339-4990
Fax
(845) 339-5001
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Augustus Guarente, ODNPI 1144312885
Title
Vice President/Co-Owner
Phone
(845) 339-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

240 Lucas Ave
Kingston, NY 12401-4316

Mailing address

240 Lucas Ave
Kingston, NY 12401-4316
Phone (845) 339-4990

Other identifiers 1

IdentifierTypeStateIssuer
D108OtherNYCDPHP

National Provider Directory

National Provider Directory
Tax ID family
Augustus Guarente OD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 Lucas Ave
Kingston, NY 12401
Phone (845) 339-4990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1043495070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LUCAS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014316",
            "telephone_number": "845-339-4990",
            "fax_number": "845-339-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LUCAS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014316",
            "telephone_number": "845-339-4990",
            "fax_number": "845-339-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS GUARENTE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GUARENTE",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_title_or_position": "VICE PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "845-339-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "D108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.