Organization Active NPI

Central New York Eye Center, LTD

  • Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1568433142
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1302209R Issued in NY
Legal business name
CENTRAL NEW YORK EYE CENTER, LTD
Practice address
22 Green St
Poughkeepsie, NY 12601-1306
Phone
(845) 471-3977
Fax
(845) 471-9516
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Lawrence Keith Fox, M.D.
Title
Governing Body
Phone
(845) 471-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1302209R NY Primary

Addresses

Primary practice location

22 Green St
Poughkeepsie, NY 12601-1306

Mailing address

22 Green St
Poughkeepsie, NY 12601-1306
Phone (845) 471-3977

Other identifiers 1

IdentifierTypeStateIssuer
01687296MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000003 NY Part B Supplier - Ambulatory Surgical Center 5597806331 Practice locations: Poughkeepsie, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Central New York Eye Center LTDCCN 33C0001013
Medicare certification status
ActiveFrom the Provider of Services file

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1052388Central New York Eye Center LTD22 Green Street, Poughkeepsie, NY 12601Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1568433142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREEN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011306",
            "telephone_number": "845-471-3977",
            "fax_number": "845-471-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GREEN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011306",
            "telephone_number": "845-471-3977",
            "fax_number": "845-471-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK EYE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "GOVERNING BODY",
        "authorized_official_telephone_number": "845-471-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "1302209R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01687296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.