Columbia Vision Care, OD, PC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008662 Issued in NY

Legal business name

COLUMBIA VISION CARE, OD, PC

Practice address

389 Fairview Ave
Hudson, NY 12534-1222

Phone

(518) 822-9060

Fax

(518) 822-9062

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather M Brooks, OPTICIANNPI 1649593393

Title

Owner

Phone

(518) 822-9060

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather M Brooks, OPTICIAN

  • Optician
  • Hudson, NY
  • NPI 1649593393
  NPD (past) Authorized official
• Sharon Florence Hunt-Moriarty, OD

  • Optometrist
  • Albany, NY
  • NPI 1154437473
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1225346018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 FAIRVIEW AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341222",
            "telephone_number": "518-822-9060",
            "fax_number": "518-822-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 FAIRVIEW AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341222",
            "telephone_number": "518-822-9060",
            "fax_number": "518-822-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA VISION CARE, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-822-9060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005879",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03238988",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02373375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Memorial Hospital
• Columbia Memorial Hospital
• Columbia Memorial Regional Medical PLLC
• Columbia Street Dental Group
• Columbia Transport Inc
• Samantha Elizabeth Conklin
• Karen Conrad, RN
• Brianna Conte, CASAC
• Continence Management LLC
• Salim Ghulam Contractor, MD

• Optician in Hudson, NY
• Providers in Hudson, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.