NPIMap

Organization Active NPI

Old Saratoga Optometry & Ophthalmic Dispensing, PLLC

Doing business as Old Saratoga Eyecare

  • Eyewear Supplier
  • Greenwich, NY
National Provider Identifier
1437520699
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
006019 Issued in NY
Legal business name
OLD SARATOGA OPTOMETRY & OPHTHALMIC DISPENSING, PLLC
Doing business as
Old Saratoga Eyecare
Practice address
1224 State Route 29
Greenwich, NY 12834-6120
Phone
(518) 692-2040
Fax
(518) 692-2440
NPI assigned
Oct 14, 2015
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Mrs. Tara L LafaveNPI 1780746677
Title
Ophthalmic Dispenser
Phone
(518) 692-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 006019 NY Primary

Addresses

Primary practice location

1224 State Route 29
Greenwich, NY 12834-6120

Mailing address

1224 State Route 29
Greenwich, NY 12834-6120
Phone (518) 692-2040

Other names 1

  • Old Saratoga Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1437520699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346120",
            "telephone_number": "518-692-2040",
            "fax_number": "518-692-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346120",
            "telephone_number": "518-692-2040",
            "fax_number": "518-692-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD SARATOGA OPTOMETRY & OPHTHALMIC DISPENSING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "LAFAVE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPHTHALMIC DISPENSER",
        "authorized_official_telephone_number": "518-692-2040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "006019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Saratoga Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Saratoga Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.