Active NPI
Judy M Jeffers, OD
- Optometrist
- Corning, NY
National Provider Identifier
1285628123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TU005001
- Practice address
- 232 Denison Pkwy E
Corning, NY 14830-2813 - Phone
- (607) 937-5800
- Fax
- (607) 398-3341
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 | TU005001 | NY | Primary |
Addresses
Primary practice location
232 Denison Pkwy E
Corning, NY 14830-2813
Mailing address
207 Madison Ave
Elmira, NY 14901-3204
Phone (607) 734-2984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180021883 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TU005001 | NY | MD | Optometrist |
Interoperability endpoints
- jjeffers182378@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1285628123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MADISON AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013204",
"telephone_number": "607-734-2984",
"fax_number": "607-398-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 DENISON PKWY E",
"city": "CORNING",
"state": "NY",
"postal_code": "148302813",
"telephone_number": "607-937-5800",
"fax_number": "607-398-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "JUDY",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TU005001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180021883",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.