Individual provider Active NPI

Callista Wlaschin

  • Optometrist
  • Halfmoon, NY
National Provider Identifier
1407697212
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT011142 Issued in NY
Practice address
1618 Route 9
Halfmoon, NY 12065-4304
Phone
(518) 371-3353
Fax
(518) 371-4747
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ORT011142 NY Primary

Addresses

Primary practice location

1618 Route 9
Halfmoon, NY 12065-4304

Mailing address

1618 Route 9
Halfmoon, NY 12065-4304
Phone (518) 371-3353

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
I20250818001700 NY Practitioner - Optometry 7517401086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Park Eye Care Optometric Associates PLLCGroup PAC ID 1456533025, 3 clinicians

Practice addresses (Care Compare)

1618 Route 9
Halfmoon, NY 12065-4304
Phone (518) 371-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ORT011142NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Park Eye Care Optometric Associates PLLC CurrentSince Aug 11, 2025 Accepting new patients
Bailey, Wakil & Auringer Eye Physicians & Surgeons,PLLC PastSince Aug 10, 2025 Accepting new patients

Locations

1618 Route 9
Halfmoon, NY 12065
Phone (518) 371-3353

Interoperability endpoints

  • Direct secure messaging: cwlaschin@useye.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1407697212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120654304",
            "telephone_number": "518-371-3353",
            "fax_number": "518-371-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120654304",
            "telephone_number": "518-371-3353",
            "fax_number": "518-371-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLASCHIN",
        "first_name": "CALLISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT011142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.