Organization Active NPI

D&B Optometry Associates PLLC

  • Optometrist
  • Clay, NY
National Provider Identifier
1215225263
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6120TUV Issued in NY
Legal business name
D&B OPTOMETRY ASSOCIATES PLLC
Practice address
4081 Route 31
Sears Optical
Clay, NY 13041-8770
Phone
(315) 652-4818
Fax
(315) 652-4819
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Daniel Pisacano, O.D.NPI 1629047840
Title
Organizing Member
Phone
(315) 720-3988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6120TUV NY Primary

Addresses

Primary practice location

4081 Route 31
Sears Optical
Clay, NY 13041-8770

Mailing address

9602 Dunderry HTS
Baldwinsville, NY 13027-9082
Phone (315) 720-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000466 NY Part B Supplier - Clinic/Group Practice 7012182934 Receives reassigned benefits from 2 practitioners
Practice locations: Fulton, NY; Liverpool, NY; Oswego, NY

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1215225263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 DUNDERRY HTS",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279082",
            "telephone_number": "315-720-3988",
            "fax_number": "315-652-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 ROUTE 31",
            "address_2": "SEARS OPTICAL",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418770",
            "telephone_number": "315-652-4818",
            "fax_number": "315-652-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&B OPTOMETRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "PISACANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ORGANIZING MEMBER",
        "authorized_official_telephone_number": "315-720-3988",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "6120TUV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.