NPIMap

Organization Active NPI

Dutchess Optometry, LLP

  • Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1578752184
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT3022 Issued in NY
Legal business name
DUTCHESS OPTOMETRY, LLP
Practice address
7 Fulton CT
Poughkeepsie, NY 12603-2802
Phone
(845) 471-3650
Fax
(845) 471-1024
NPI assigned
Oct 19, 2007
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Saul Polenberg, O.D.NPI 1316906639
Title
Optometrist/Owner
Phone
(845) 471-3650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT3022 NY Primary

Addresses

Primary practice location

7 Fulton CT
Poughkeepsie, NY 12603-2802

Mailing address

7 Fulton CT
Poughkeepsie, NY 12603-2802
Phone (845) 471-3650

Other identifiers 6

IdentifierTypeStateIssuer
C93911OtherNYBC/BS
10032271OtherNYCDPHP
903934OtherNYBLOCK
903535OtherNYBLOCK
939167OtherNYMVP
VUT003022OtherNYLICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Dutchess Optometry LLP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1578752184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FULTON CT",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032802",
            "telephone_number": "845-471-3650",
            "fax_number": "845-471-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FULTON CT",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032802",
            "telephone_number": "845-471-3650",
            "fax_number": "845-471-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHESS OPTOMETRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "POLENBERG",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "845-471-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT3022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "C93911",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "903934",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "903535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "939167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "VUT003022",
            "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 Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.