Active NPI
Ohlbaum & Waterman Eye Associates
- Optometrist
- New Hartford, NY
National Provider Identifier
1366455701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005259
- Legal business name
- OHLBAUM & WATERMAN EYE ASSOCIATES
- Practice address
- 1 Paris Rd
New Hartford, NY 13413-2350 - Phone
- (315) 797-9091
- Fax
- (315) 797-9124
- NPI assigned
- Aug 15, 2006
- Last updated
- Jun 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Waterman, OD
- Title
- Optometrist
- Phone
- (315) 797-9091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005259 | NY | Primary |
Addresses
Primary practice location
1 Paris Rd
New Hartford, NY 13413-2350
Mailing address
1 Paris Road
New Hartford, NY 13413
Phone (315) 797-9091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01543695 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- New Hartford, NY
- NPI 1730186768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244678400000",
"number": "1366455701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARIS ROAD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "13413",
"telephone_number": "315-797-9091",
"fax_number": "315-797-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARIS RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132350",
"telephone_number": "315-797-9091",
"fax_number": "315-797-9124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHLBAUM & WATERMAN EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2009-06-11",
"status": "A",
"authorized_official_last_name": "WATERMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "315-797-9091",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01543695",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.