NPIMap

Organization Active NPI

Adirondack Eye Physicians & Surgeons PC

  • Optometrist
  • Glens Falls, NY
National Provider Identifier
1114148442
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADIRONDACK EYE PHYSICIANS & SURGEONS PC
Practice address
152 Bay St
Glens Falls, NY 12801-2329
Phone
(518) 792-1300
Fax
(518) 792-3030
NPI assigned
May 2, 2007
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Kenneth C Hopper, MDNPI 1487767935
Title
Owner
Phone
(518) 792-1300

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

152 Bay St
Glens Falls, NY 12801-2329

Mailing address

152 Bay St
Glens Falls, NY 12801-2329
Phone (518) 792-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000092 NY Part B Supplier - Clinic/Group Practice 7012999147 Receives reassigned benefits from 4 practitioners
Practice locations: Glens Falls, NY; Warrensburg, NY; Saratoga Springs, NY; Greenwich, NY

National Provider Directory

National Provider Directory

Locations

414 Maple Ave
Ste 400
Saratoga Springs, NY 12866
Phone (518) 587-2020

3695 Main St
Warrensburg, NY 12885
Phone (518) 623-2229

Practitioners & affiliated clinicians

Practitioners 11

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1114148442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329",
            "telephone_number": "518-792-1300",
            "fax_number": "518-792-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329",
            "telephone_number": "518-792-1300",
            "fax_number": "518-792-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK EYE PHYSICIANS & SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-792-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.