Individual provider Active NPI

Allan Korot, OD

  • Optometrist
  • Hudson Falls, NY
National Provider Identifier
1427183995
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02621 Issued in NY
Practice address
156 Main Street
Hudson Falls, NY 12839-2129
Phone
(518) 747-2800
Fax
(518) 747-2800
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02621 NY Primary

Addresses

Primary practice location

156 Main Street
Hudson Falls, NY 12839-2129

Mailing address

156 Main Street
Hudson Falls, NY 12839-2129
Phone (518) 747-2800

Other identifiers 1

IdentifierTypeStateIssuer
30477BOtherNYPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T02621NYMDOptometrist
002621NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1427183995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MAIN STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392129",
            "telephone_number": "518-747-2800",
            "fax_number": "518-747-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 MAIN STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392129",
            "telephone_number": "518-747-2800",
            "fax_number": "518-747-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROT",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T02621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "30477B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.