Individual provider Active NPI

Alan R. Weinstock, O.D.

  • Optometrist
  • Clifton Park, NY
National Provider Identifier
1366520793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003803 Issued in NY
Practice address
19 Clifton Country Rd
Village Plaza
Clifton Park, NY 12065-3820
Phone
(518) 439-3551
Fax
(518) 439-2508
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003803 NY Primary

Addresses

Primary practice location

19 Clifton Country Rd
Village Plaza
Clifton Park, NY 12065-3820

Mailing address

266 Delaware Ave
Delmar, NY 12054-1134
Phone (518) 439-3551

Other identifiers 1

IdentifierTypeStateIssuer
TUV003803OtherNYLICENSE

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
TUV003803NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Pharmacy Inc PastSince Jul 1, 2009 Accepting new patients
Dinapoli & Dinapoli, Inc. Optometrist Past Accepting new patients
Dinapoli and Dinapoli, Inc. Optometrist PastSince Dec 30, 2021 Accepting new patients
Donna Goukler, O.D., P.C. Optometrist PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366520793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541134",
            "telephone_number": "518-439-3551",
            "fax_number": "518-439-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CLIFTON COUNTRY RD",
            "address_2": "VILLAGE PLAZA",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653820",
            "telephone_number": "518-439-3551",
            "fax_number": "518-439-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "ALAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TUV003803",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.