Organization Active NPI

Gabrielseyemds

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1326239112
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
096580-1 Issued in NY
Legal business name
GABRIELSEYEMDS
Doing business as
Gabrielseyemds
Practice address
960 Western Ave
Albany, NY 12203-2512
Phone
(518) 482-4459
Fax
(518) 482-1465
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Joan Marie Thomas
Title
Office Manager
Phone
(518) 482-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 096580-1 NY Primary

Addresses

Primary practice location

960 Western Ave
Albany, NY 12203-2512

Mailing address

960 Western Ave
Albany, NY 12203-2512
Phone (518) 482-4459

Other names 2

  • Gabrielseyemds Doing business as
  • Gabriels Eye MD's Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000994 NY Part B Supplier - Clinic/Group Practice 6002931581 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

960 Western Ave
Albany, NY 12203
Phone (518) 482-4459

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1326239112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032512",
            "telephone_number": "518-482-4459",
            "fax_number": "518-482-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032512",
            "telephone_number": "518-482-4459",
            "fax_number": "518-482-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELSEYEMDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-482-4459"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "096580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabrielseyemds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gabriels Eye MD's",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gabriels Eye MD's",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.