Adirondack Eyecare Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006918 Issued in NY

Legal business name

ADIRONDACK EYECARE CENTER INC

Doing business as

Adirondack EyeCare Inc

Practice address

6 Headwaters PLZ
Boonville, NY 13309-1300

Phone

(315) 942-2122

Fax

(315) 942-2084

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David John Vinci, ODNPI 1952300824

Title

Optometrist

Phone

(315) 942-2122

Specialties & licenses 1

Addresses

Other names 1

• Adirondack EyeCare Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 6

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

• David John Vinci, OD

  • Optometrist
  • Boonville, NY
  • NPI 1952300824
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Pierson, O.D.

  • Optometrist
  • Rome, NY
  • NPI 1164874319
  Medicare reassignment Care Compare group NPD
• Nichole Elizabeth Pollard, OD

  • Optometrist
  • Rome, NY
  • NPI 1205452810
  Medicare reassignment Care Compare group NPD
• Jerry L Baker

  • Optometrist
  • Oneida, NY
  • NPI 1669463386
  NPD (past)
• Ronald H Poulin, O.D.

  • Optometrist
  • Camden, NY
  • NPI 1982694832
  NPD (past)
• Joseph J Lammens, O.D.

  • Optometrist
  • Kearny, NJ
  • NPI 1659448157
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1215036405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEADWATERS PLZ",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091300",
            "telephone_number": "315-942-2122",
            "fax_number": "315-942-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEADWATERS PLZ",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091300",
            "telephone_number": "315-942-2122",
            "fax_number": "315-942-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK EYECARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "VINCI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-942-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack EyeCare Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adirondack Central School
• Patricia Bates, RN, NP
• Hannah Beasock
• Sandra Patrick Beasock, P.T.
• Leah Boek, MSN FNP-BC
• Boonville Ambulance Inc.

• Optometrist in Boonville, NY
• Providers in Boonville, 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 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.