Individual provider Active NPI

Eric Robert Carson, O.D.

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1407891476
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 004102 Issued in NY
Practice address
235 Washington St.
Suite #1
Saratoga Springs, NY 12866-5963
Phone
(518) 587-5900
Fax
(518) 587-5938
NPI assigned
Jun 16, 2006
Last updated
Jan 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 004102 NY Primary

Addresses

Primary practice location

235 Washington St.
Suite #1
Saratoga Springs, NY 12866-5963

Mailing address

235 Washington St.
Suite #1
Saratoga Springs, NY 12866-5963
Phone (518) 587-5900

Other identifiers 1

IdentifierTypeStateIssuer
00719824MedicaidNY

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
I20100917001089 NY Practitioner - Optometry 0143317206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Optometric Assoc, PCGroup PAC ID 5294821724, 7 clinicians

Practice addresses (Care Compare)

235 Washington St
Suite 1
Saratoga Springs, NY 12866-5963
Phone (518) 587-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004102NYMDMental Health Counselor
TUV 004102NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Optometry Professional PLLC Optometrist CurrentSince Feb 6, 2025 Accepting new patients

Locations

228 Delaware Ave
Delmar, NY 12054
Phone (518) 439-7012

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1407891476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST.",
            "address_2": "SUITE #1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900",
            "fax_number": "518-587-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST.",
            "address_2": "SUITE #1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900",
            "fax_number": "518-587-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 004102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00719824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.