Organization Active NPI

Carol a Balfe, OD, PC

  • Optometrist
  • Canajoharie, NY
National Provider Identifier
1366640567
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005534 Issued in NY
Legal business name
CAROL A BALFE, OD, PC
Practice address
70 Erie Blvd
Canajoharie, NY 13317-1133
Phone
(518) 673-2015
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Carol A Balfe, O.D.NPI 1427100486
Title
Owner
Phone
(518) 673-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 005534 NY Primary

Addresses

Primary practice location

70 Erie Blvd
Canajoharie, NY 13317-1133

Mailing address

70 Erie Blvd
Canajoharie, NY 13317-1133
Phone (518) 673-2015

Other names 1

  • mohawk valley eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000299 NY Part B Supplier - Clinic/Group Practice 7416057153 Receives reassigned benefits from 1 practitioner
Practice locations: Canajoharie, NY

National Provider Directory

National Provider Directory

Locations

70 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2015

Practitioners & affiliated clinicians

Practitioners 1

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1366640567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ERIE BLVD",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171133",
            "telephone_number": "518-673-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ERIE BLVD",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171133",
            "telephone_number": "518-673-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A BALFE, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BALFE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-673-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mohawk valley eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canajoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.