Government Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008307 Issued in NY

Legal business name

GOVERNMENT EYE CARE

Practice address

2264 Saranac Ave
Lake Placid, NY 12946-3383

Phone

(518) 302-5578

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Joseph Maxon, O.D.NPI 1053793034

Title

Optometrist

Phone

(760) 819-1141

Specialties & licenses 1

Addresses

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.

• Tyler Maxon, O.D.

  • Optometrist
  • Manlius, NY
  • NPI 1053793034
  Authorized official Same address or phone

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1598201824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 KINLOCH CIR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129463383",
            "telephone_number": "518-302-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNMENT EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MAXON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "760-819-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste G Gabai, DC, MS, ATC
• Dorit Dorcas Gaedtke, MD
• Patricia Gallagher, CRNFA
• Amy Garrison, CRNP
• David Michael Garrison, M.D.
• Caitlin Gregg, MLMT
• Christina Anne Haberek-Windhorse, LIC. AC
• Jacob Edward Hadden, PH.D.
• Mahmoud I Hamza, MD
• Raymond J Havlicek, PH.D.

• Optometrist in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.