Active NPI
Jerome E Brislin OD PC
- Optometrist
- Oneida, NY
National Provider Identifier
1063660256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002464
- Legal business name
- JEROME E BRISLIN OD PC
- Practice address
- 1294 Upper Lenox Ave
Oneida, NY 13421-2681 - Phone
- (315) 361-4050
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome E Brislin, OD
- Title
- Owner
- Phone
- (315) 625-7533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002464 | NY | Primary |
Addresses
Primary practice location
1294 Upper Lenox Ave
Oneida, NY 13421-2681
Mailing address
8251 New Floyd Rd
Rome, NY 13440-0553
Phone (315) 865-4299
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometric Technician
- Oneida, NY
- NPI 1982848552
-
- Optometrist
- Oneida, NY
- NPI 1619030376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1063660256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8251 NEW FLOYD RD",
"city": "ROME",
"state": "NY",
"postal_code": "134400553",
"telephone_number": "315-865-4299",
"fax_number": "315-865-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 UPPER LENOX AVE",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212681",
"telephone_number": "315-361-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME E BRISLIN OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "BRISLIN",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-625-7533",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "002464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.