Active NPI
Edward V Cordes, O.D.
- Optometrist
- Corning, NY
National Provider Identifier
1144227299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003540
- Practice address
- 130 Center Way
Corning, NY 14830-2255 - Phone
- (607) 973-8265
- Fax
- (607) 937-1089
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003540 | NY | Primary |
Addresses
Primary practice location
130 Center Way
Corning, NY 14830-2255
Mailing address
130 Center Way
Corning, NY 14830-2255
Phone (607) 973-8265
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA0598 | Other | NY | MEDICARE GROUP |
| 0019042000001 | Medicaid | PA | |
| 00370503 | Medicaid | NY | |
| CC8362 | Other | NY | RR MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003540 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1144227299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CENTER WAY",
"city": "CORNING",
"state": "NY",
"postal_code": "148302255",
"telephone_number": "607-973-8265",
"fax_number": "607-937-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CENTER WAY",
"city": "CORNING",
"state": "NY",
"postal_code": "148302255",
"telephone_number": "607-973-8265",
"fax_number": "607-937-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "EDWARD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "AA0598",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019042000001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00370503",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC8362",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
- Cheryl Virginia Colegrove-Landon, RN
- Katherine Ann Colyer, PT
- Lisa Christine Condefer-Smith, NP
- Henry Neal Cook, M.D.
- Tammie Kae Copp
- Corning Ambulance Service Inc
- Corning Bright Dental PLLC
- Corning Council for Assistance and Information for the Disabled Inc
- Corning Dental Associates RLLP
- Corning Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.