Individual provider Active NPI

Carol Ann Balfe, O.D.

  • Optometrist
  • Canajoharie, NY
National Provider Identifier
1427100486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T-005534-1 Issued in NY
Practice address
70 Erie Blvd
Canajoharie, NY 13317-1133
Phone
(518) 673-2241
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T-005534-1 NY Primary

Addresses

Primary practice location

70 Erie Blvd
Canajoharie, NY 13317-1133

Mailing address

410 White Rd
Canajoharie, NY 13317-3239
Phone (518) 673-2241

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
I20070711000276 NY Practitioner - Optometry 6709986441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 Erie Blvd
Mohawk Valley Eyecare
Canajoharie, NY 13317-1133
Phone (518) 673-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-005534-1NYMDOptometrist
005534NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Aidone Past Accepting new patients

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427100486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WHITE RD",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133173239",
            "telephone_number": "518-673-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ERIE BLVD",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171133",
            "telephone_number": "518-673-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T-005534-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canajoharie, NY

Sources for this page

Verify at the official NPI Registry.