North Country Ophthalmology Associates PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTH COUNTRY OPHTHALMOLOGY ASSOCIATES PC

Practice address

3 Lyon Place
Suite 101
Ogdesnburg, NY 13669-2590

Phone

(315) 393-0392

Fax

(315) 393-0591

NPI assigned

Dec 6, 2006

Last updated

Nov 1, 2017By 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

Dr. Denys A Beauvais, MDNPI 1083787972

Title

President

Phone

(315) 393-0392

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Denys A Beauvais, MD

  • Ophthalmology Physician
  • Ogdensburg, NY
  • NPI 1083787972
  Authorized official Same address or phone
• Dawn M Barr

  • Optometrist
  • Ogdensburg, NY
  • NPI 1811060718
  NPD (past)
• Eryn Mae Doe

  • Optometrist
  • Ogdensburg, NY
  • NPI 1154494045
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1326107251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "address_2": "SUITE 101",
            "city": "OGDESNBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-393-0392",
            "fax_number": "315-393-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "address_2": "SUITE 101",
            "city": "OGDESNBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-393-0392",
            "fax_number": "315-393-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY OPHTHALMOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "DENYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-393-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01243407",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.