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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 11

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

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

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2016.

{
    "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.