Ophthalmic Associates of the

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMIC ASSOCIATES OF THE

Practice address

530 Columbia Dr
Johnson City, NY 13790-3301

Phone

(607) 729-5016

Fax

(607) 729-7574

NPI assigned

May 27, 2006

Last updated

Jan 22, 2021By 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

Roxanne Marie Wood

Title

Credentialing Specialist

Phone

(607) 729-5016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Steven Emil Goldenberg, OD

  • Optometrist
  • Johnson City, NY
  • NPI 1689621955
  Medicare reassignment NPD
• Geremie Palombaro, D.O.

  • Ophthalmology Physician
  • Johnson City, NY
  • NPI 1760611016
  Medicare reassignment NPD
• Daniel Luis Sambursky, M.D.

  • Ophthalmology Physician
  • Johnson City, NY
  • NPI 1245271931
  Medicare reassignment NPD
• Gary Michael Pisanchyn, OD

  • Optometrist
  • Clarks Summit, PA
  • NPI 1598712846

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1306893169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903301",
            "telephone_number": "607-729-5016",
            "fax_number": "607-729-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903301",
            "telephone_number": "607-729-5016",
            "fax_number": "607-729-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC ASSOCIATES OF THE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "607-729-5016"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy E Olevano, MS ED.
• Therese F Oliver, CRNA
• Kimberly Ann Olson, PT
• Melissa Ondreyko, RPH/MS
• Melodye Elaine Onysko, NP/CNM
• Deborah Elizabeth Orlando, OTR
• Stephanie Orzelek, PA-C
• Jeffrey Allan Orzell, DO
• Osteopathic Pain Management Services LLC
• Emre Oto, MD

• Ophthalmology Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.