NPIMap

Organization Active NPI

East Fishkill Eye Associates Optometrists, P.C.

  • Optometrist
  • Hopewell Junction, NY
National Provider Identifier
1194893776
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004725 Issued in NY
Legal business name
EAST FISHKILL EYE ASSOCIATES OPTOMETRISTS, P.C.
Practice address
857 Route 82
Hopewell Junction, NY 12533
Phone
(845) 227-2233
Fax
(845) 227-4186
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Deborah Roodner, O.D.
Title
Optometrist
Phone
(845) 227-2233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV004051 NY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV004725 NY Primary

Addresses

Primary practice location

857 Route 82
Hopewell Junction, NY 12533

Mailing address

PO Box 459
Hopewell Junction, NY 12533
Phone (845) 227-2233

Other identifiers 2

IdentifierTypeStateIssuer
C2T431OtherNYBLUE CROSS BLUE SHIELD
C2T441OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1194893776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-227-2233",
            "fax_number": "845-227-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 ROUTE 82",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-227-2233",
            "fax_number": "845-227-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FISHKILL EYE ASSOCIATES OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ROODNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "845-227-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004051",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C2T431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C2T441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.