Organization Active NPI

Eye Associates,PC

  • Ophthalmology Physician
  • Kingston, NY
National Provider Identifier
1194814558
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES,PC
Practice address
500 Aaron CT
Kingston, NY 12401-2966
Phone
(845) 331-0711
Fax
(845) 334-9338
NPI assigned
Oct 12, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Angela C Potter, MD
Title
Office Manager
Phone
(845) 331-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NY Primary

Addresses

Primary practice location

500 Aaron CT
Kingston, NY 12401-2966

Mailing address

500 Aaron CT
Kingston, NY 12401-2966
Phone (845) 331-0711

Other identifiers 1

IdentifierTypeStateIssuer
01961935MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1194814558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AARON CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012966",
            "telephone_number": "845-331-0711",
            "fax_number": "845-334-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AARON CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012966",
            "telephone_number": "845-331-0711",
            "fax_number": "845-334-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-331-0711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01961935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.