Organization Active NPI

Clear Quest

  • Optometrist
  • Newburgh, NY
National Provider Identifier
1053473512
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2766 Issued in NY
Legal business name
CLEAR QUEST
Practice address
1401 Route 300
Newburgh Mall
Newburgh, NY 12550-2990
Phone
(845) 566-9179
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Weintraub, O. D.
Title
Vice President
Phone
(845) 566-9179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2766 NY Primary

Addresses

Primary practice location

1401 Route 300
Newburgh Mall
Newburgh, NY 12550-2990

Mailing address

1401 Route 300
Newburgh Mall
Newburgh, NY 12550-2990
Phone (845) 566-9179

Other identifiers 1

IdentifierTypeStateIssuer
00643985MedicaidNY

Other names 1

  • Jules Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Route 300
Ste 1054
Newburgh, NY 12550
Phone (845) 566-9179

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053473512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "address_2": "NEWBURGH MALL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-566-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "address_2": "NEWBURGH MALL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-566-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR QUEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-566-9179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00643985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jules Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.