Albany Regional Eye Surgery Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

0153204R Issued in NY

Legal business name

ALBANY REGIONAL EYE SURGERY CENTER, LLC

Practice address

5 Johnson Rd
Latham, NY 12110-3003

Phone

(518) 782-1181

NPI assigned

May 24, 2006

Last updated

Nov 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn De Brueys

Title

Administrator

Phone

(518) 782-1181

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Albany Regional Eye Surgery Center LLCCCN 33C0001059

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Peter J Duffy, MD

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1376535385
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1467407833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOHNSON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103003",
            "telephone_number": "518-782-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOHNSON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103003",
            "telephone_number": "518-782-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY REGIONAL EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "DE BRUEYS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-782-1181"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "0153204R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC ID NUMBER",
            "identifier": "040191",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02214982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albany Eye Physicians and Surgeons PC
• Albany Family Dentistry P.C.
• Albany Health Management Associates, Inc.
• Albany Medical College
• Albany Medical College (Albany Medical College Womens Wellness Center)
• Elizabeth B Aldi, RPH
• Sunah Kim Alexander, OD
• Lubbna V Alimohammad, MD
• Tessa Marie Allen, PHARMD.
• Allison Liss, Nurse Practitioner in Psychiatry, PLLC

• Ophthalmologic Surgery Clinic/Center in Latham, NY
• Providers in Latham, NY by specialty
• Ophthalmologic Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.