Organization Active NPI

Pecora Ophthalmology Practice PLLC

  • Ophthalmology Physician
  • Endicott, NY
National Provider Identifier
1609943604
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PECORA OPHTHALMOLOGY PRACTICE PLLC
Practice address
1207 E Main St
Endicott, NY 13760-5219
Phone
(607) 785-3043
Fax
(607) 785-9093
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Ms. Margaret B Quezada, CPC
Title
CPC
Phone
(607) 785-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1207 E Main St
Endicott, NY 13760-5219

Mailing address

1207 E Main St
Endicott, NY 13760-5219
Phone (607) 785-3043

Other identifiers 1

IdentifierTypeStateIssuer
059345809OtherNYBLUE SHIELD CNY

Other names 1

  • Eye Sight Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000904 NY Part B Supplier - Clinic/Group Practice 1153390471 Receives reassigned benefits from 3 practitioners
Practice locations: Binghamton, NY; Endicott, NY; Johnson City, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: tbrown@pecora.intellechartdirect.net
  • Direct secure messaging: lpecora@pecora.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1609943604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605219",
            "telephone_number": "607-785-3043",
            "fax_number": "607-785-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605219",
            "telephone_number": "607-785-3043",
            "fax_number": "607-785-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECORA OPHTHALMOLOGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "607-785-3043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CNY",
            "identifier": "059345809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Sight Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Endicott, NY

Sources for this page

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