Anna Camporese, OD
Individual provider Active NPI Optometrist · Slingerlands, NY
NPI 1174409452 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1174409452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 011282 (NY)
- Practice address
- 9 Vista Blvd Ste 100
Slingerlands, NY 12159-2190 - Phone
- (518) 475-1515
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
9 Vista Blvd
Suite 100
Slingerlands, NY 12159-2183
Phone (518) 475-1515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250915004073 | NY | Practitioner - Optometry | 4486158391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011282 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Region Eye Specialist and Surgeon PLLC | Current |
Accepting new patients | |
| Cornea Consultants of Albany,PLLC | Past |
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
- drcamporese@corneacare.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 011282 | NY | Yes |
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
NPI Registry JSON
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.