Active NPI
Charles Robert Trojan
- Optician
- Queensbury, NY
National Provider Identifier
1174705693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 007733
- Practice address
- 800 Aviation Road
Queensbury, NY 12804-1835 - Phone
- (518) 793-5155
- NPI assigned
- Nov 27, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 007733 | NY | Primary |
Addresses
Primary practice location
800 Aviation Road
Queensbury, NY 12804-1835
Mailing address
800 Aviation Road
Queensbury, NY 12804-1835
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007733 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1174705693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 AVIATION ROAD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128041835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AVIATION ROAD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128041835",
"telephone_number": "518-793-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROJAN",
"first_name": "CHARLES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "007733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.