Active NPI
Robert S. Fox, OD
- Optometrist
- Latham, NY
National Provider Identifier
1215033246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV4535
- Practice address
- 1202 Troy-Schenectady Rd.
Latham, NY 12110 - Phone
- (518) 374-8001
- Fax
- (518) 374-5923
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV4535 | NY | Primary |
Addresses
Primary practice location
1202 Troy-Schenectady Rd.
Latham, NY 12110
Mailing address
1202 Troy-Schenectady Rd.
Latham, NY 12110
Phone (518) 374-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV4535 | NY | MD | Optometrist |
| 004535 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Fitness & Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Watervliet, NY
- NPI 1861484602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1215033246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 TROY-SCHENECTADY RD.",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-374-8001",
"fax_number": "518-374-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 TROY-SCHENECTADY RD.",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-374-8001",
"fax_number": "518-374-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ROBERT",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV4535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.