Individual provider Active NPI

Anna Camporese, OD

  • Optometrist
  • Slingerlands, NY
National Provider Identifier
1174409452
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011282 Issued in NY
Practice address
9 Vista Blvd Ste 100
Slingerlands, NY 12159-2190
Phone
(518) 475-1515
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011282 NY Primary

Addresses

Primary practice location

9 Vista Blvd Ste 100
Slingerlands, NY 12159-2190

Mailing address

434 Birchwood Dr
Duanesburg, NY 12056-4202
Phone (845) 242-5719

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
I20250915004073 NY Practitioner - Optometry 4486158391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region Eye Specialist and Surgeon PLLCGroup PAC ID 8628103181, 6 clinicians

Practice addresses (Care Compare)

9 Vista Blvd
Suite 100
Slingerlands, NY 12159-2183
Phone (518) 475-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011282NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Eye Specialist and Surgeon PLLC CurrentSince Sep 8, 2025 Accepting new patients
Cornea Consultants of Albany,PLLC PastSince Aug 17, 2025 Accepting new patients

Locations

95 West Ave
Saratoga Springs, NY 12866
Phone (518) 463-4313

9 Vista Blvd
Ste 100
Slingerlands, NY 12159
Phone (518) 475-1515

Interoperability endpoints

  • Direct secure messaging: drcamporese@corneacare.medentdirect.com

Organizations & group practices 2

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": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1174409452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BIRCHWOOD DR",
            "city": "DUANESBURG",
            "state": "NY",
            "postal_code": "120564202",
            "telephone_number": "845-242-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VISTA BLVD STE 100",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121592190",
            "telephone_number": "518-475-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPORESE",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.