George M Mitsoglou, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

U005623 Issued in NY

Practice address

292 Cornelia St
Building 2
Plattsburgh, NY 12901-2303

Phone

(518) 563-7400

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Country Optical

  • Optometrist
  • Plattsburgh, NY
  • NPI 1053728675
  NPD (past) Authorized official
• Michael D Lack OD

  • Optometrist
  • Plattsburgh, NY
  • NPI 1831246958
  NPD (past)
• Surgical Eye Care PLLC

  • Ophthalmology Physician
  • Saranac Lake, NY
  • NPI 1841410495
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1508830191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CUMBERLAND AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011815",
            "telephone_number": "518-563-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 CORNELIA ST",
            "address_2": "BUILDING 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012303",
            "telephone_number": "518-563-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSOGLOU",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "U005623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02301848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadaf N Mir, M.D.
• Michael Mirzoyan, M.D.
• Catherine Pelchar Mitchell, FNP
• Kathleen Mitchell, PT
• Tina Mitchell, SLP
• Savatina Mitsoglou, PA
• Kenta Miyazaki, MS, ATC
• Ciara Mock
• James Moesch
• Lisa Moffatt

• Optometrist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.