Individual provider Active NPI

Darrell R. Ni, O.D.

  • Optometrist
  • Clifton Park, NY
National Provider Identifier
1396974861
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007442 Issued in NY
Practice address
1549 Route 9
Vision Center
Clifton Park, NY 12065
Phone
(518) 373-5756
NPI assigned
Jul 6, 2009
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007442 NY Primary

Addresses

Primary practice location

1549 Route 9
Vision Center
Clifton Park, NY 12065

Mailing address

1549 Route 9
Vision Center
Clifton Park, NY 12047
Phone (518) 373-5756

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150108000202 NY Practitioner - Optometry 8921321449 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Apr 10, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 10, 2017 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Dec 1, 2014 Accepting new patients
Empire Vision Center, Inc CurrentSince Sep 26, 2023 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Sep 26, 2023 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Interoperability endpoints

  • Direct secure messaging: dni315429@bassett.direct-ci.net

Organizations & group practices 6

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1396974861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 ROUTE 9",
            "address_2": "VISION CENTER",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-373-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 ROUTE 9",
            "address_2": "VISION CENTER",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-373-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "DARRELL",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.