Organization Active NPI

Glaucoma Consultants of the Capital Region,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
National Provider Identifier
1073530952
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA CONSULTANTS OF THE CAPITAL REGION,PLLC
Practice address
1240 New Scotland Rd
Suite 201
Slingerlands, NY 12159-9222
Phone
(518) 475-7300
Fax
(518) 475-9174
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Steven Trotter Simmons, M.D.NPI 1932157559
Title
Owner
Phone
(518) 475-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1240 New Scotland Rd
Suite 201
Slingerlands, NY 12159-9222

Mailing address

PO Box 115
Slingerlands, NY 12159-0115
Phone (518) 475-7300

Other identifiers 1

IdentifierTypeStateIssuer
CG7910OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000250 NY Part B Supplier - Clinic/Group Practice 1951301670 Receives reassigned benefits from 4 practitioners
Practice locations: Slingerlands, NY

National Provider Directory

National Provider Directory

Locations

1220 New Scotland Rd
Ste 201
Slingerlands, NY 12159
Phone (518) 262-2550

15 Vista Blvd
Slingerlands, NY 12159
Phone (518) 262-2540

1240 New Scotland Rd
Ste 201
Slingerlands, NY 12159
Phone (518) 475-7300

Practitioners & affiliated clinicians

Practitioners 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1073530952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121590115",
            "telephone_number": "518-475-7300",
            "fax_number": "518-475-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NEW SCOTLAND RD",
            "address_2": "SUITE 201",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599222",
            "telephone_number": "518-475-7300",
            "fax_number": "518-475-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS OF THE CAPITAL REGION,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "TROTTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-475-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.