John Andrew Cordes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004105 Issued in NY

Practice address

578 Aviation Rd
Sterling Optical Aviation Mall
Queensbury, NY 12804-1814

Phone

(518) 793-5155

Fax

(518) 745-8140

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  Medicare reassignment NPD
• Sampson Optical Corp.

  • Eyewear Supplier
  • Albany, NY
  • NPI 1104257831
  Medicare reassignment NPD
• Saratoga Vitreo-Retinal Ophthalmology, PLLC

  • Specialist
  • Malta, NY
  • NPI 1316055940
  Medicare reassignment NPD
• Sampson Optical Corp

  • Eyewear Supplier
  • Queensbury, NY
  • NPI 1659541498
  NPD
• Emerging Vision

  • Ophthalmic Technician/Technologist
  • Queensbury, NY
  • NPI 1144357773
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184774572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FORT AMHERST RD",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012276",
            "telephone_number": "518-793-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 AVIATION RD",
            "address_2": "STERLING OPTICAL AVIATION MALL",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041814",
            "telephone_number": "518-793-5155",
            "fax_number": "518-745-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Applied Behavior Analysis, PLLC
• Claire Marie Connolly
• Convenient Medical Care, PC
• Emily Cooke, OTR
• Dominick Corbett, MSW
• Anne C Corey, MD
• Danielle Cornell, LMSW
• Ellen F Cosgrove, MD
• Melissa Gail Cotton, RPA C
• Cottrell and McCullough Dental PLLC

• Optometrist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.