Individual provider Active NPI

Chris J Viglucci, OD

  • Optometrist
  • Greene, NY
National Provider Identifier
1124114442
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT4205 Issued in NY
Practice address
29 N Chenango St
Greene, NY 13778-1139
Phone
(607) 656-4485
Fax
(607) 656-4648
NPI assigned
Oct 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT4205 NY Primary

Addresses

Primary practice location

29 N Chenango St
Greene, NY 13778-1139

Mailing address

29 N Chenango St
Greene, NY 13778-1139
Phone (607) 656-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001657 NY Practitioner - Optometry 1355321266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lange and Viglucci OptometristsGroup PAC ID 7416121652, 2 clinicians

Practice addresses (Care Compare)

29 N Chenango St
Suite 1
Greene, NY 13778-1139
Phone (607) 656-4485

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UT4205NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pecora Ophthalmology Practice PLLC CurrentSince Jan 20, 2013 Accepting new patients
Lange and Viglucci Optometrists Optometrist CurrentSince Oct 1, 1991 Accepting new patients
Ying Eye Care PC Optometrist Past Accepting new patients
Susquehanna Eye Care Optometrist PastSince Sep 19, 2010 Accepting new patients
Newhorizoneyewearllc Past Accepting new patients

Locations

1207 E Main St
Endicott, NY 13760
Phone (607) 754-2440

29 N Chenango St
Greene, NY 13778
Phone (607) 656-4485

29 N Chenango St
Ste 1
Greene, NY 13778
Phone (607) 656-4485

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124114442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N CHENANGO ST",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137781139",
            "telephone_number": "607-656-4485",
            "fax_number": "607-656-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N CHENANGO ST",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137781139",
            "telephone_number": "607-656-4485",
            "fax_number": "607-656-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLUCCI",
        "first_name": "CHRIS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT4205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greene, NY

Sources for this page

Verify at the official NPI Registry.