Individual provider Active NPI

Jodee A Price, OD

  • Optometrist
  • Queensbury, NY
National Provider Identifier
1326007352
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006753 Issued in NY
Practice address
118 Quaker Rd Ste 6
Queensbury, NY 12804-1755
Phone
(518) 338-3080
Fax
(518) 338-3081
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 006753 NY Primary

Addresses

Primary practice location

118 Quaker Rd Ste 6
Queensbury, NY 12804-1755

Mailing address

209 Burke Rd
Saratoga Springs, NY 12866-6469
Phone (518) 587-9204

Other identifiers 2

IdentifierTypeStateIssuer
EM68/10085212OtherNYCDPHP HEALTH INSURANCE
3004766OtherNYMVP HEALTHCARE

Other names 1

  • Dr. Jodee A Perretta Former name

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

LicenseStateTypeSpecialty
4356MAMDPsychologist
TUV 006753NYMDOptometrist
006753NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Vision Center PastSince Apr 23, 2023 Accepting new patients
Saratoga Vitreo-Retinal Ophthalmology, PLLC PastSince Dec 1, 2020 Accepting new patients
Edwin a. Davison, Jr. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1326007352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BURKE RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666469",
            "telephone_number": "518-587-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 QUAKER RD STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041755",
            "telephone_number": "518-338-3080",
            "fax_number": "518-338-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JODEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP HEALTH INSURANCE",
            "identifier": "EM68/10085212",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "3004766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODEE",
            "last_name": "PERRETTA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.