Individual provider Active NPI

Michael Belhumeur, OD

  • Optometrist
  • Latham, NY
National Provider Identifier
1467971200
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009743 Issued in NY
Practice address
767 Troy Schenectady Rd
Latham, NY 12110-2446
Phone
(518) 690-7020
NPI assigned
Sep 13, 2017
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009743 NY Primary
Optometrist 152W00000X TA2594 MD

Addresses

Primary practice location

767 Troy Schenectady Rd
Latham, NY 12110-2446

Mailing address

767 Troy Schenectady Rd
Latham, NY 12110-2446
Phone (518) 690-7020

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
I20250630004134 NY Practitioner - Optometry 2062771520 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009743NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Infusion Therapy Inc CurrentSince Sep 15, 2024 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jun 1, 2025 Accepting new patients
Northeast Ophthalmology PLLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jun 1, 2025 Accepting new patients
Albany Medical College Optometrist PastSince Mar 3, 2024 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1467971200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102446",
            "telephone_number": "518-690-7020",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102446",
            "telephone_number": "518-690-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELHUMEUR",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009743",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.