Active NPI
Kristen Cameron
- Optician
- Burnt Hills, NY
National Provider Identifier
1437333838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0079741
- Practice address
- 793 RT. 50
Burnt Hills, NY 12027-0209 - Phone
- (518) 399-6130
- Fax
- (518) 399-4604
- NPI assigned
- Dec 20, 2007
- Last updated
- Dec 20, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 0079741 | NY | Primary |
Addresses
Primary practice location
793 RT. 50
Burnt Hills, NY 12027-0209
Mailing address
793 RT. 50
PO Box 209
Burnt Hills, NY 12027-0209
Phone (518) 399-6130
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0079741 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burnt Hills Optical, Inc | Optician | Current | Accepting new patients |
| Jeanette L. Bergstrom Dba Burnt Hills Optical | Optician | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- Burnt Hills, NY
- NPI 1871735191
-
dba Burnt Hills Optical
- Optician
- Burnt Hills, NY
- NPI 1184899783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1437333838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 RT. 50",
"address_2": "PO BOX 209",
"city": "BURNT HILLS",
"state": "NY",
"postal_code": "120270209",
"telephone_number": "518-399-6130",
"fax_number": "518-399-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 RT. 50",
"city": "BURNT HILLS",
"state": "NY",
"postal_code": "120270209",
"telephone_number": "518-399-6130",
"fax_number": "518-399-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "0079741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnt Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.