NPIMap

Organization Active NPI

North Country Ophthalmology Associates PC

Doing business as The Optical Outlet

  • Eyewear Supplier
  • Ogdensburg, NY
National Provider Identifier
1407227044
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
C7949-1 Issued in NY
Legal business name
NORTH COUNTRY OPHTHALMOLOGY ASSOCIATES PC
Doing business as
The Optical Outlet
Practice address
3 Lyon PL
Suite 101
Ogdensburg, NY 13669-2590
Phone
(315) 393-3937
Fax
(315) 393-0591
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Denys Beauvais, M.D.NPI 1083787972
Title
President
Phone
(315) 393-3937

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
Eyewear Supplier 332H00000X C7949-1 NY Primary

Addresses

Primary practice location

3 Lyon PL
Suite 101
Ogdensburg, NY 13669-2590

Mailing address

3 Lyon PL
Suite 101
Ogdensburg, NY 13669-2590
Phone (315) 393-3937

Other identifiers 1

IdentifierTypeStateIssuer
01880533MedicaidNY

Other names 1

  • The Optical Outlet Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1407227044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 101",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-393-3937",
            "fax_number": "315-393-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 101",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-393-3937",
            "fax_number": "315-393-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY OPHTHALMOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "DENYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-393-3937",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "C7949-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optical Outlet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.