Active NPI
Adrian Montes, OD
- Optometrist
- Fayetteville, NY
National Provider Identifier
1588188973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008641-1
- Practice address
- 6859 E Genesee St
Fayetteville, NY 13066-1086 - Phone
- (315) 251-2206
- NPI assigned
- Jul 28, 2017
- Last updated
- Jul 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008641-1 | NY | Primary |
Addresses
Primary practice location
6859 E Genesee St
Fayetteville, NY 13066-1086
Mailing address
225 Wilkinson St Apt 316
Syracuse, NY 13204-2450
Phone (651) 621-9126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008641-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1588188973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WILKINSON ST APT 316",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042450",
"telephone_number": "651-621-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6859 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661086",
"telephone_number": "315-251-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "ADRIAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.