Organization Active NPI

Cortland Ophthalmological Care, PLLC

Doing business as Cortland Eye Center

  • Ophthalmology Physician
  • Cortland, NY
National Provider Identifier
1508952540
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
226008 Issued in NY
Legal business name
CORTLAND OPHTHALMOLOGICAL CARE, PLLC
Doing business as
Cortland Eye Center
Practice address
1160 Tompkins St
Cortland, NY 13045-3578
Phone
(607) 753-7528
Fax
(607) 756-8163
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mrs. Kimberly M Stevens
Title
Practice Administrator
Phone
(607) 753-7528

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 005836 NY
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 006144 NY
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 226008 NY Primary

Addresses

Primary practice location

1160 Tompkins St
Cortland, NY 13045-3578

Mailing address

1160 Tompkins St
Cortland, NY 13045-3578
Phone (607) 753-7528

Other names 1

  • Cortland Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061031000134 NY Part B Supplier - Clinic/Group Practice 3072510312 Receives reassigned benefits from 5 practitioners
Practice locations: Cortland, NY
O20100930098766 NY DME Supplier - Physician - OptometristDME Supplier - Optician 3072510312 Practice locations: Cortland, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cortland Eye Center1160 Tompkins St, Cortland, NY 13045-3578(607) 753-7528 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 18, 2006

National Provider Directory

National Provider Directory

Locations

1160 Tompkins St
Cortland, NY 13045
Phone (607) 753-7528

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1508952540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453578",
            "telephone_number": "607-753-7528",
            "fax_number": "607-756-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453578",
            "telephone_number": "607-753-7528",
            "fax_number": "607-756-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND OPHTHALMOLOGICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "607-753-7528",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005836",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006144",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortland Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.