Sampson Optical Corp.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV-006771 Issued in NY

Legal business name

SAMPSON OPTICAL CORP.

Doing business as

DBA Pearle Vision

Practice address

116 Wolf Rd
Albany, NY 12205

Phone

(518) 459-5602

Fax

(518) 459-9195

NPI assigned

Dec 5, 2013

Last updated

Aug 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adam Sampson

Title

President/Owner

Phone

(518) 459-5602

Specialties & licenses 1

Addresses

Other names 1

• DBA Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sampson Optical Corp

  • Eyewear Supplier
  • Queensbury, NY
  • NPI 1659541498

  O20180813001317

  Same enrollment

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.

• John Andrew Cordes, O.D.

  • Optometrist
  • Queensbury, NY
  • NPI 1184774572
  Medicare reassignment NPD

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1104257831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WOLF RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-459-5602",
            "fax_number": "518-459-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WOLF RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-459-5602",
            "fax_number": "518-459-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON OPTICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "518-459-5602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV-006771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Hospital of Troy, New York
• Samaritan Hospital of Troy, New York
• Renee Samelson, M.D.
• Jaime Sampat, RN
• Prashanth Sampath-Kumar, MD
• Sampson Optical Corp. (Pearle Vision)
• Sampson's Prosthetic Laboratory Inc (Hanger Clinic)
• Samskara Counseling LCSW PLLC
• Brianna Samson, PA-C
• Eric Jose Samson, DC

• Eyewear Supplier in Albany, NY
• Providers in Albany, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.