Jerome E Brislin, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002464 Issued in NY

Legal business name

JEROME E BRISLIN, O.D., P.C.

Practice address

577 Dutch Hill Rd
Parish, NY 13131-3167

Phone

(315) 625-7533

Fax

(351) 625-7533

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome E Brislin, O. D.

Title

President

Phone

(315) 625-7533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124151816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 DUTCH HILL RD",
            "city": "PARISH",
            "state": "NY",
            "postal_code": "131313167",
            "telephone_number": "315-625-7533",
            "fax_number": "351-625-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 DUTCH HILL RD",
            "city": "PARISH",
            "state": "NY",
            "postal_code": "131313167",
            "telephone_number": "315-625-7533",
            "fax_number": "351-625-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME E BRISLIN, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BRISLIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-625-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Engleman
• Stephanie Helen Fiorito
• Tonya Marie Forshier, NP
• Erica Freeborn, LMSW
• Cindy Lou Jeffries, FNP
• Sylvia Krupke
• Carol M Lembo, REGISTERED NURSE
• Shayla Lobello, RN
• Mikala L Morse, LMSW
• Peyton Elizabeth Nadeau

• Optometrist in Parish, NY
• Providers in Parish, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.