Jerry A Piccione, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005608 Issued in NY

Practice address

279 Troy Rd
Rensselaer, NY 12144-9499

Phone

(518) 286-9910

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donna Goukler OD PCGroup PAC ID 2769822477, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Donna Goukler, O.D., P.C.

  • Optometrist
  • Delmar, NY
  • NPI 1639860695
  Medicare reassignment Care Compare group NPD
• Dinapoli & Dinapoli, Inc.

  • Eyewear Supplier
  • Clifton Park, NY
  • NPI 1013084219

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386785814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SHERWOOD TRL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666146",
            "telephone_number": "518-588-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449499",
            "telephone_number": "518-286-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIONE",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Renee Otterbeck, PA-C
• Cheryl Parkes
• Aimee Parlatore
• Kathryn Pelton
• Ronald Pettis
• Donna Pickard
• Shaina Iraida Pierre, FNP
• Pamela Poalino
• Keith Portee
• Deena Potter-Sanders, RN

• Optometrist in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Optometrist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.