Organization Active NPI

Washingtonville Optometry, PC

  • Optometrist
  • Blooming Grove, NY
National Provider Identifier
1609113976
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV5971 Issued in NY
Legal business name
WASHINGTONVILLE OPTOMETRY, PC
Practice address
2877 Route 94
Fieldstone Square Suite 2
Blooming Grove, NY 10914-0418
Phone
(845) 496-9999
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Jennifer BattiatoNPI 1447331814
Title
President
Phone
(845) 496-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV5971 NY Primary

Addresses

Primary practice location

2877 Route 94
Fieldstone Square Suite 2
Blooming Grove, NY 10914-0418

Mailing address

PO Box 418
Blooming Grove, NY 10914-0418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000236 NY Part B Supplier - Clinic/Group Practice 3870535958 Receives reassigned benefits from 1 practitioner
Practice locations: Blooming Grove, NY

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1609113976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "BLOOMING GROVE",
            "state": "NY",
            "postal_code": "109140418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 ROUTE 94",
            "address_2": "FIELDSTONE SQUARE SUITE 2",
            "city": "BLOOMING GROVE",
            "state": "NY",
            "postal_code": "109140418",
            "telephone_number": "845-496-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTONVILLE OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "BATTIATO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-496-9999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blooming Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.