Organization Active NPI

Central New York Optometry PLLC

  • Optometrist
  • New Hartford, NY
National Provider Identifier
1154482198
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005516-4 Issued in NY
Legal business name
CENTRAL NEW YORK OPTOMETRY PLLC
Practice address
52 New Hartford Shopping Ctr
New Hartford, NY 13413-2144
Phone
(315) 735-7590
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Ralph Joseph Lamberto, O.D.NPI 1982743332
Title
Owner
Phone
(315) 725-3937

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005516-4 NY Primary

Addresses

Primary practice location

52 New Hartford Shopping Ctr
New Hartford, NY 13413-2144

Mailing address

52 New Hartford Shopping Ctr
New Hartford, NY 13413-2144
Phone (315) 735-7590

Other identifiers 1

IdentifierTypeStateIssuer
01540454MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002000729 NY Part B Supplier - Clinic/Group Practice 2668692245 Receives reassigned benefits from 1 practitioner
Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory
Tax ID family
Central New York Optometry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 New Hartford Shopping Ctr
#C
New Hartford, NY 13413
Phone (315) 735-7590

52 New Hartford Shopping Ctr
New Hartford, NY 13413
Phone (315) 732-2125

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1154482198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 NEW HARTFORD SHOPPING CTR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132144",
            "telephone_number": "315-735-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 NEW HARTFORD SHOPPING CTR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132144",
            "telephone_number": "315-735-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "LAMBERTO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-725-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005516-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01540454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.