Active NPI
Nicole Gaibrois, O.D.
- Optometrist
- Queensbury, NY
National Provider Identifier
1407243496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008246
- Practice address
- 91 Sunset TRL
Queensbury, NY 12804-6710 - Phone
- (518) 260-0261
- NPI assigned
- Apr 17, 2015
- Last updated
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008246 | NY | Primary |
Addresses
Primary practice location
91 Sunset TRL
Queensbury, NY 12804-6710
Mailing address
152 Bay St
Glens Falls, NY 12801-2329
Phone (518) 792-4140
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
152 Bay St
Glen Falls, NY 12801-2329
Phone (518) 792-4140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008246 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Eye Physicians & Surgeons PC | Optometrist | Current | Accepting new patients |
| Bay Optical, Inc | Past | Accepting new patients |
Locations
152 Bay St
Glens Falls, NY 12801
Phone (518) 792-1300
Organizations & group practices 2
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.
-
- Optometrist
- Glens Falls, NY
- NPI 1114148442
-
- Optician
- Glens Falls, NY
- NPI 1073681169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1407243496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 BAY ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128012329",
"telephone_number": "518-792-4140",
"fax_number": "518-792-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SUNSET TRL",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128046710",
"telephone_number": "518-260-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIBROIS",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.